Gustavo Cordero Garcia, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

7556 Issued in PR

Practice address

Avenida Munoz Rivera
#7 Norte
San Lorenzo, PR 00754

Phone

(787) 736-2252

NPI assigned

Sep 1, 2005

Last updated

May 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Partners in Medicine LLC

  • General Practice Physician
  • San Lorenzo, PR
  • NPI 1366002941
  NPD (past)
• Physician Premier Medical Group, PSC

  • Health Maintenance Organization
  • San Lorenzo, PR
  • NPI 1225206071
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1235123563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9420",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269420",
            "telephone_number": "787-736-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MUNOZ RIVERA",
            "address_2": "#7 NORTE",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO GARCIA",
        "first_name": "GUSTAVO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Vacunacion del Noroeste, Inc.
• Centro Ryder San Lorenzo
• Centro Ryder San Lorenzo Vacunacion
• Karilyn Claudio-Navarro
• Maribel Contreras
• Corporacion de Servicios de Salud Y Medicina Avanzada Cossma (Farmacia Cossma San Lorenzo)
• Keisha Coss
• Zuleika Marie Coss, MSW
• Cossma, Inc.
• Cossma, Inc.

• General Practice Physician in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.