Julio Cesar Cordero Pupo, MEDICINE DOCTOR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13899 Issued in PR

Practice address

Carr 115 Urb. Flamboyanes #6
Aguada, PR 00602

Phone

(787) 688-1515

Fax

(787) 868-1515

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Julio Cesar Cordero PSCGroup PAC ID 4284034604, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr Julio Cesar Cordero PSC

  • General Practice Physician
  • Aguada, PR
  • NPI 1396323598
  Medicare reassignment Care Compare group NPD
• Melanie Acevedo Valle LLC

  • Primary Care Clinic/Center
  • Aguada, PR
  • NPI 1841858727
  NPD (past)
• Serv Emerg del Noroeste

  • Multi-Specialty Clinic/Center
  • Aguada, PR
  • NPI 1558468876
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1043277726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F3 CALLE F URB. SAN CARLOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-997-1896",
            "fax_number": "787-868-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 URB. FLAMBOYANES #6",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-688-1515",
            "fax_number": "787-868-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO PUPO",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MEDICINE DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melany Ivette Colon
• Comprehensive Therapy Center
• Ana Jessica Concepcion Carrero, PSY.D.
• Kiara M Concepcion Chaparro, PSYD
• Virgilio Cora Santiago, MD
• Brenda Enid Cordero Sanchez, PHARMD
• Jeylin Cordero Soto, MSW
• Bryan Vega Cordero, DC
• Elizabeth Cordero, PHYSICAL THERAPIST
• Juan M Corona-Amaro, M.D.

• General Practice Physician in Aguada, PR
• Providers in Aguada, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.

Verify at the official NPI Registry.