Jose Manuel Cordero Hernandez, MD, PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

23370 Issued in PR

Practice address

1156 Calle 62 SE
San Juan, PR 00921-2724

Phone

(787) 758-2525

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jose Manuel Cordero Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1023518032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19044",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 CALLE 62 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212724",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23370",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "23370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "CORDERO",
            "middle_name": "MANUEL",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose E Cora
• Valeria Corales
• Zuleika Marie Corales, PHARM.D.
• Cristian Corazon Manzano
• Corben Physicians P.S.C.
• Eliezer Cordero Lopez, MD, PA.
• Natalie Cordero Olavarria
• Jose Augusto Cordero Pacheco, MD
• Limary Cordero Rivera, M.D.
• Sylvia B Cordero Rivera

• Student in an Organized Health Care Education/Training Program in San Juan, PR
• Providers in San Juan, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.