Provider Demographics
NPI:1962383315
Name:CORTES, IRIS
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:CORTES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 POMPAY DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8631
Mailing Address - Country:US
Mailing Address - Phone:321-314-7545
Mailing Address - Fax:
Practice Address - Street 1:1375 POMPAY DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-8631
Practice Address - Country:US
Practice Address - Phone:321-314-7545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant