Active NPI
Angel G. Cordero-Ventura
- Student in an Organized Health Care Education/Training Program
- Arecibo, PR
National Provider Identifier
1245919232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 6175519
- Practice address
- Carretera #2, KM. 80.4 Barrio San Daniel
Sector Las Canelas Arecibo, Puerto Rico
Arecibo, PR 00614-4050 - Phone
- (787) 878-5475
- NPI assigned
- Jul 17, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6175519 | PR | Primary |
Addresses
Primary practice location
Carretera #2, KM. 80.4 Barrio San Daniel
Sector Las Canelas Arecibo, Puerto Rico
Arecibo, PR 00614-4050
Mailing address
Carretera #2, KM. 80.4 Barrio San Daniel
Sector Las Canelas Arecibo, Puerto Rico
Arecibo, PR 00614-4050
Phone (787) 878-5475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6175519 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1245919232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARRETERA #2, KM. 80.4 BARRIO SAN DANIEL",
"address_2": "SECTOR LAS CANELAS ARECIBO, PUERTO RICO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006144050",
"telephone_number": "787-878-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA #2, KM. 80.4 BARRIO SAN DANIEL",
"address_2": "SECTOR LAS CANELAS ARECIBO, PUERTO RICO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006144050",
"telephone_number": "787-878-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO-VENTURA",
"first_name": "ANGEL",
"middle_name": "G.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "6175519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Omar Antonio Concepcion, MD
- Consultorio Medico Dr Aquiles Alvarez & Asociados CSP
- Consultorio Medico M L O Inc
- Consultorio Medico Mlo Inc
- Jonathan Cordero Jimenez, MD
- Adelly Antoinette Cordero
- Ivonne Cordova, LND
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion del Fondo del Seguro del Estado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.