Jose Manuel Cordero

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C636433764610 Issued in FL

Practice address

400 Gran Bahama Blvd
Apt 10202
Davenport, FL 33897-8322

Phone

(407) 955-7027

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1427409184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAN BAHAMA BLVD",
            "address_2": "APT 10202",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978322",
            "telephone_number": "407-955-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRAN BAHAMA BLVD",
            "address_2": "APT 10202",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978322",
            "telephone_number": "407-955-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "C636433764610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Coney
• Susan Lynn Connell, ARNP CNM
• Continuity Transportation LLC
• Convey Therapy Inc
• Mireille Cordero-Rivera
• Steven J Cordero, NA
• Francisco E Cortes, PA
• Iris Cortes
• Miriam Costa, LPTA
• Gleanyelisse Cotto

• Non-emergency Medical Transport (VAN) in Davenport, FL
• Providers in Davenport, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.