Noah Ark Pediatric Clinic LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NOAH ARK PEDIATRIC CLINIC LLC

Practice address

Carr 152 KM 12.7
Barrio Cedro Arriba
Naranjito, PR 00719

Phone

(939) 905-6659

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Glorymar Ortiz Cordero, MD

Title

President

Phone

(939) 285-0666

Specialties & licenses 1

Addresses

Other names 1

• Noah Ark Pediatric Clinic Former legal business name

Locations

Practitioners 1

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

• Glorymar Ortiz Cordero, M.D.

  • Pediatrics Physician
  • Rio Piedras, PR
  • NPI 1295143758
  NPD

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1275343709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 15133",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007837945",
            "telephone_number": "939-285-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 152 KM 12.7",
            "address_2": "BARRIO CEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "939-905-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH ARK PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "GLORYMAR",
        "authorized_official_middle_name": "ORTIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-285-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noah Ark Pediatric Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maria Luisa Nieves Tirado, MD, FAAP
• Gil Edgardo Nieves-Luciano
• Aurea Nieves, PH
• Barbara Dolores Nieves, LPC
• Nancy L Nieves, RPH
• Miguel A Nova, MD FAAFP
• Carlos A Nunez Ayoroa, DMD
• Nutrirse LLC
• Oficina Dental Feijoo
• Ernesto Ojeda, MD

• Pediatrics Physician in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.