Angelica Anais Campos Cordero

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22619 Issued in PR

Practice address

205 Calle Loto
San German, PR 00683-9000

Phone

(787) 519-1166

NPI assigned

Feb 1, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  Medicare reassignment NPD
• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Rio Grande, PR
  • NPI 1073015566
  NPD
• Inspira Mental Health Management

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guayama, PR
  • NPI 1114388691
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1558014381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALLE LOTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839000",
            "telephone_number": "787-519-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CALLE LOTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839000",
            "telephone_number": "787-519-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS CORDERO",
        "first_name": "ANGELICA",
        "middle_name": "ANAIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biotech Medcorp
• Bonilla Gastroenterology LLC
• Pedro Ariel Bonilla, MD
• Arlene A Cabot-Carlo, BA
• Julio Cesar Campis Candelario, MD
• Maria M Cancel
• Sebastian Andres Candelaria Ruiz, MS
• Fabiola Isabel Cardona, MD
• Caribbean Health Care Group Corp (Emergency on Wheels)
• Caribbean Healthcare Group Corp. (Emergency on Wheels)

• General Practice Physician in San German, PR
• Providers in San German, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.