Individual provider Active NPI

Roberto Sanchez Cordova, MD

  • Podiatrist
  • Puerto Nuevo, PR
National Provider Identifier
1174622096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0049 Issued in PR
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10049OtherCIGNA
228011OtherPREFERRED HEALTH PLAN
9360098OtherHUMANA HEALTH INSURANCE
601149OtherMEDICARE MUCHO MAS MMM
50192OtherPREFERRED MEDICAL CHOICE
48063OtherTRIPLE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001335 PR Practitioner - Podiatry 4284823568 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue209
Removal of nail tissue355
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.