Organization Active NPI

Maria Cordova & Assoc. PA

  • Durable Medical Equipment & Medical Supplies
  • Weston, FL
National Provider Identifier
1205974607
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OPC2957 Issued in FL
Legal business name
MARIA CORDOVA & ASSOC. PA
Practice address
4577 Weston Rd
Weston, FL 33331-3141
Phone
(954) 432-1532
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Maria Cordova, ODNPI 1528104718
Title
Owner
Phone
(954) 432-1532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OPC2957 FL Primary

Addresses

Primary practice location

4577 Weston Rd
Weston, FL 33331-3141

Mailing address

4577 Weston Rd
Weston, FL 33331-3141
Phone (954) 432-1532

Other identifiers 1

IdentifierTypeStateIssuer
OPC2957OtherFLOPTOMETRIC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Cohen'S Fashion Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1205974607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "954-432-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "954-432-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CORDOVA & ASSOC. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-432-1532",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OPC2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "OPC2957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.