Organization Active NPI

Dr Cordero Pediatric Office

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1407248636
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
276436900MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.