NPIMap

Individual provider Active NPI

Andres Jose Cordova Toro, MD

  • Cardiovascular Disease Physician
  • Moca, PR
National Provider Identifier
1124554894
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21867 Issued in PR
Practice address
550 Calle Concepcion Vera
Moca, PR 00676-5005
Phone
(787) 877-8000
NPI assigned
May 2, 2017
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21867 PR Primary
Internal Medicine Physician 207R00000X 21867 PR
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

550 Calle Concepcion Vera
Moca, PR 00676-5005

Mailing address

PO Box 2116
San Juan, PR 00922-2116
Phone (787) 754-0101

Other practice location 1

H1 Calle 1
Urb Prado Alto
Guaynabo, PR 00966
Phone (787) 754-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828000851 PR Practitioner - Cardiovascular Disease (Cardiology) 5092254631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University Central del Caribe Escuela de Medicina, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Calle Concepcion Vera
Moca, PR 00676-5005
Phone 78787780001300

Carr Est PR-460 KM
2 Bo. Caimtal Bajo
Aguadilla, PR 00603
Phone (787) 658-0009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21867PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital San Carlos Incorporado Cardiovascular Disease CurrentSince Jan 24, 2025 Accepting new patients
Cordel Cardiology LLC Cardiovascular Disease CurrentSince Jul 16, 2024 Accepting new patients
Servicios Hospitalistas San Carlos Borromeo CurrentSince Jan 24, 2025 Accepting new patients
Servicios de Anestesia Hospital San Carlos Borromeo PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1124554894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2116",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222116",
            "telephone_number": "787-754-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE CONCEPCION VERA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765005",
            "telephone_number": "787-877-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "H1 Calle 1",
            "address_2": "Urb Prado Alto",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00966",
            "country_code": "US",
            "telephone_number": "787-754-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA TORO",
        "first_name": "ANDRES",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "21867",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21867",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.