Individual provider Active NPI

Enma Laida Cordero-Rodriguez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1053278499
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11044730 Issued in FL
Practice address
5789 NW 151St St
Miami Lakes, FL 33014-2424
Phone
(866) 378-1547
NPI assigned
Jan 7, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11044730 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1118434 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 409217 NY

Addresses

Primary practice location

5789 NW 151St St
Miami Lakes, FL 33014-2424

Mailing address

10131 Hammerly Blvd
Houston, TX 77080-5014
Phone (281) 779-8009

Other practice location 1

3271 43rd St
Astoria, NY 11103-2753
Phone (866) 378-1578

Other practice location 2

10131 Hammerly Blvd
Houston, TX 77080-5014
Phone (281) 779-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260225001272 TX Practitioner - Nurse Practitioner 8022506542 Practice locations: Houston, TX
I20260303002762 FL Practitioner - Nurse Practitioner 8022506542 Practice locations: Naples, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10131 Hammerly Blvd
Houston, TX 77080-5014
Phone (713) 769-0096

616 Sanctuary Rd
Naples, FL 34120-4837
Phone (346) 580-1292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11044730FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RCL Medical Center PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Solura Health Group PLLC Psychiatric/Mental Health Past Accepting new patients
Clinica Hispana Hammerly PastSince Oct 27, 2024 Accepting new patients

Locations

10131 Hammerly Blvd
Houston, TX 77080
Phone (346) 580-1292

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1053278499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 HAMMERLY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770805014",
            "telephone_number": "281-779-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5789 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142424",
            "telephone_number": "866-378-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 43rd St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111032753",
            "country_code": "US",
            "telephone_number": "866-378-1578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10131 Hammerly Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770805014",
            "country_code": "US",
            "telephone_number": "281-779-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO-RODRIGUEZ",
        "first_name": "ENMA",
        "middle_name": "LAIDA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11044730",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1118434",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "409217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.