Individual provider Active NPI

Elizabeth Cordero, R.P.T.

  • Physical Therapist
  • Quebradillas, PR
National Provider Identifier
1083727309
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1225 Issued in PR
Practice address
Carr. 4485 KM. 3.2 Bo. San Jose
Quebradillas, PR 00678-2832
Phone
(787) 232-5368
Fax
(787) 895-3863
NPI assigned
Aug 17, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1225 PR Primary

Addresses

Primary practice location

Carr. 4485 KM. 3.2 Bo. San Jose
Quebradillas, PR 00678-2832

Mailing address

Urb. Dos Ceibas #14
Quebradillas, PR 00678-2832
Phone (787) 232-5368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225PRMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1083727309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. DOS CEIBAS #14",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006782832",
            "telephone_number": "787-232-5368",
            "fax_number": "787-895-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 4485 KM. 3.2 BO. SAN JOSE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006782832",
            "telephone_number": "787-232-5368",
            "fax_number": "787-895-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.