Individual provider Active NPI

Maria L Cordova

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1013135219
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11245 Issued in PR
Practice address
1324 Calle Canada
Antiguohospital Vetrano Puerto Nuevo
San Juan, PR 00920-3860
Phone
(787) 793-1554
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11245 PR Primary

Addresses

Primary practice location

1324 Calle Canada
Antiguohospital Vetrano Puerto Nuevo
San Juan, PR 00920-3860

Mailing address

1971 Calle Sandalo
San Ramon
Guaynabo, PR 00969-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408000271 PR Practitioner - Psychiatry 5092144360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

202 Calle Gautier Benitez
Caguas, PR 00725-5512
Phone (787) 704-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Dec 22, 2019 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Dec 22, 2019 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1013135219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 CALLE SANDALO",
            "address_2": "SAN RAMON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CALLE CANADA",
            "address_2": "ANTIGUOHOSPITAL VETRANO PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203860",
            "telephone_number": "787-793-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.