Evelyn Cordero, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

146024 Issued in NY

Practice address

941 Castle Hill Ave
Bronx, NY 10473-1344

Phone

(718) 792-3117

Fax

(718) 792-0979

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003823584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731344",
            "telephone_number": "718-792-3117",
            "fax_number": "718-792-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731344",
            "telephone_number": "718-792-3117",
            "fax_number": "718-792-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "146024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00790547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L. Cordaro, D.C., C.C.N
• Juana Carolina Cordero Garate, MD
• Alina Cordero, MD
• Damaris Altagracia Cordero, DDS
• Diane Cordero, CARE MANAGER
• Hiram Cordero
• Jennifer Cordero
• Keila Cordero
• Loidian Cordero
• Miriam Cordero, M.S.W.

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.