Active NPI
Roberto Sanchez Cordova, MD
- Podiatrist
- Puerto Nuevo, PR
National Provider Identifier
1174622096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0049
- Practice address
- 1229 Jesus T Pineiro
Puerto Nuevo, PR 00920 - Phone
- (787) 783-6650
- Fax
- (787) 783-6650
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0049 | PR | Primary |
Addresses
Primary practice location
1229 Jesus T Pineiro
Puerto Nuevo, PR 00920
Mailing address
PO Box 366987
San Juan, PR 00936
Phone (787) 783-6650
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10049 | Other | CIGNA | |
| 228011 | Other | PREFERRED HEALTH PLAN | |
| 9360098 | Other | HUMANA HEALTH INSURANCE | |
| 601149 | Other | MEDICARE MUCHO MAS MMM | |
| 50192 | Other | PREFERRED MEDICAL CHOICE | |
| 48063 | Other | TRIPLE S |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
544 Ave Escorial
San Juan, PR 00920-4705
Phone (787) 783-6650
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 209 |
| Removal of nail tissue | 355 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antilles Foot Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- San Juan, PR
- NPI 1558663146
-
- Foot & Ankle Surgery Podiatrist
- Puerto Nuevo, PR
- NPI 1104002732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174622096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366987",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-783-6650",
"fax_number": "787-783-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 JESUS T PINEIRO",
"city": "PUERTO NUEVO",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-783-6650",
"fax_number": "787-783-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ CORDOVA",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PR",
"license": "0049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "228011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH INSURANCE",
"identifier": "9360098",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS MMM",
"identifier": "601149",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICAL CHOICE",
"identifier": "50192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "48063",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puerto Nuevo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.