Enery M Cordero- Guillama, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15075 Issued in PR

Practice address

121 Ave Dr Susoni
Hatillo, PR 00659-1843

Phone

(787) 262-8526

Fax

(787) 898-1592

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279

  General Practice

  NPD
• Eo. Ambulance Services Inc

  • Land Ambulance
  • Camuy, PR
  • NPI 1952564791
  NPD
• Wenchy Ambulance

  • Ambulance
  • Camuy, PR
  • NPI 1235171695
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1528095833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270850",
            "telephone_number": "787-898-5584",
            "fax_number": "787-898-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVE DR SUSONI",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591843",
            "telephone_number": "787-262-8526",
            "fax_number": "787-898-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO- GUILLAMA",
        "first_name": "ENERY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Victor Concepcion, PSY.D
• Concepto de Salud Inc
• Consultorio Medico Dr. Obed R. Garcia Acevedo, CSP
• Orlando Cordero Nevarez, M.T.S.
• Miguel Angel Cordero Rodriguez, MD
• Nizette I Cordero, RPT
• Sujehil Milagros Cordero
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

• All providers in Hatillo, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.