NPIMap

Organization Active NPI

Edwin Cordero, MD PA

  • Pediatrics Physician
  • Cutler Bay, FL
National Provider Identifier
1104011006
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME53862 Issued in FL
Legal business name
EDWIN CORDERO, MD PA
Practice address
20210 Old Cutler Rd
Cutler Bay, FL 33189-1919
Phone
(786) 293-3200
Fax
(888) 781-7177
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Edwin Cordero, M.D.
Title
Owner
Phone
(305) 274-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME53862 FL Primary

Addresses

Primary practice location

20210 Old Cutler Rd
Cutler Bay, FL 33189-1919

Mailing address

9350 SW 72ND St
Suite 112
Miami, FL 33173-3286
Phone (305) 274-0780

Other identifiers 1

IdentifierTypeStateIssuer
255912902MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Edwin Cordero MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1104011006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "address_2": "SUITE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286",
            "telephone_number": "305-274-0780",
            "fax_number": "305-274-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20210 OLD CUTLER RD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891919",
            "telephone_number": "786-293-3200",
            "fax_number": "888-781-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN CORDERO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-274-0780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255912902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.