Active NPI
Maria L Cordova
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1013135219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11245
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | 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.
-
- Adult Mental Health Clinic/Center
- Cidra, PR
- NPI 1063928596
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Psychiatric Hospital
- Caguas, PR
- NPI 1265947113
-
- Substance Abuse Rehabilitation Facility
- San Juan, PR
- NPI 1326177619
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.