Provider Demographics
NPI:1932086899
Name:LOPEZ CORTES, ELIANA ANDREA (MCAT)
Entity type:Individual
Prefix:MISS
First Name:ELIANA
Middle Name:ANDREA
Last Name:LOPEZ CORTES
Suffix:
Gender:F
Credentials:MCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 JACKSON AVE PH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4333
Mailing Address - Country:US
Mailing Address - Phone:919-501-1669
Mailing Address - Fax:
Practice Address - Street 1:532 JACKSON AVE PH
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4333
Practice Address - Country:US
Practice Address - Phone:919-501-1669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor