Active NPI
Dr Cordero Pediatric Office
- Pediatrics Physician
- Naples, FL
National Provider Identifier
1407248636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DR CORDERO PEDIATRIC OFFICE
- Practice address
- 1090 6TH Ave N
Naples, FL 34102-5604 - Phone
- (239) 213-9200
- Fax
- (239) 213-9205
- NPI assigned
- Feb 25, 2015
- Last updated
- Dec 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nirka M Cordero
- Title
- Office Manager
- Phone
- (239) 213-9204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
1090 6TH Ave N
Naples, FL 34102-5604
Mailing address
1090 6TH Ave N
Naples, FL 34102-5604
Phone (239) 213-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276436900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1407248636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 6TH AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025604",
"telephone_number": "239-213-9200",
"fax_number": "239-213-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 6TH AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025604",
"telephone_number": "239-213-9200",
"fax_number": "239-213-9205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CORDERO PEDIATRIC OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-25",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "CORDERO",
"authorized_official_first_name": "NIRKA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "239-213-9204",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276436900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.