Organization Active NPI

Dr Julio Cesar Cordero PSC

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1396323598
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR JULIO CESAR CORDERO PSC
Practice address
Carr 115 Urb Flamboyanes # 6
Aguada, PR 00602-0060
Phone
(787) 868-1515
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Julio Cesar Cordero, MD
Title
President
Phone
(787) 475-1822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr 115 Urb Flamboyanes # 6
Aguada, PR 00602-0060

Mailing address

F3 Calle F Urb San Carlos
Aguadilla, PR 00603-5830
Phone (787) 868-1515

Other practice location 1

82 Calle Socorro
Quebradillas, PR 00678-2048
Phone (787) 895-3684

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607001481 PR Part B Supplier - Clinic/Group Practice 4284034604 Receives reassigned benefits from 2 practitioners
Practice locations: Aguada, PR; Quebradillas, PR

National Provider Directory

National Provider Directory

Locations

62 Calle Socorro
Quebradillas, PR 00678
Phone (786) 420-9106

Practitioners & affiliated clinicians

Practitioners 3

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1396323598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F3 CALLE F URB SAN CARLOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035830",
            "telephone_number": "787-868-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 URB FLAMBOYANES # 6",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020060",
            "telephone_number": "787-868-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Calle Socorro",
            "address_purpose": "LOCATION",
            "city": "Quebradillas",
            "state": "PR",
            "postal_code": "006782048",
            "country_code": "US",
            "telephone_number": "787-895-3684",
            "fax_number": "787-868-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JULIO CESAR CORDERO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.