Individual provider Active NPI

Lourdes A Cordoves, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1366550949
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0043561 Issued in FL
Practice address
6450 W 21St CT
Suite 305
Hialeah, FL 33016-3946
Phone
(305) 556-3671
Fax
(305) 556-7740
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0043561 FL Primary

Addresses

Primary practice location

6450 W 21St CT
Suite 305
Hialeah, FL 33016-3946

Mailing address

6450 W 21St CT
Suite 305
Hialeah, FL 33016-3946
Phone (305) 556-3671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20060320000184 FL Practitioner - Internal Medicine 6901813732 Practice locations: Hialeah, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0043561FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366550949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-556-3671",
            "fax_number": "305-556-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-556-3671",
            "fax_number": "305-556-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVES",
        "first_name": "LOURDES",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0043561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.