Provider Demographics
NPI:1063305944
Name:FERNANDEZ, MARIA CORTEZ
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CORTEZ
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 JAIME J ZAPATA AVE APT B2
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-5985
Mailing Address - Country:US
Mailing Address - Phone:530-315-9551
Mailing Address - Fax:
Practice Address - Street 1:2424 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1480
Practice Address - Country:US
Practice Address - Phone:956-431-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician