NPIMap

Individual provider Active NPI

Santos Ruiz Cordero, MD

  • General Practice Physician
  • Vero Beach, FL
National Provider Identifier
1598976557
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN501 Issued in FL
Practice address
1600 36TH St Ste C
Vero Beach, FL 32960-4875
Phone
(772) 217-4422
Fax
(772) 217-4460
NPI assigned
May 24, 2007
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X ACN501 FL
General Practice Physician 208D00000X ACN501 FL Primary

Addresses

Primary practice location

1600 36TH St Ste C
Vero Beach, FL 32960-4875

Mailing address

1600 36TH St Ste C
Vero Beach, FL 32960-4875
Phone (772) 217-4422

Other identifiers 1

IdentifierTypeStateIssuer
107787600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027000459 FL Practitioner - Internal Medicine 0143292797 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Humayun Shareef MD PA CurrentSince Apr 14, 2018 Accepting new patients
Internal Medicine Consultants of Saint Lucie County LLC CurrentSince Oct 6, 2014 Accepting new patients
Phoenix American Medical LLC CurrentSince Jul 1, 2022 Accepting new patients
Farmacia Santa Rita PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento San Sebastian, Inc. PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc General Practice PastSince Jan 1, 1990 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc PastSince Jan 1, 1990 Accepting new patients

Locations

1401 S US Highway 1
Ste 1423
Fort Pierce, FL 34950
Phone (772) 788-2120

2401 Frist Blvd
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-0033

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

1030 S 78th St
Tampa, FL 33619
Phone (813) 740-0635

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCACBD
  • Direct secure messaging: santos.ruizcordero@compmc.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1598976557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE C",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-217-4422",
            "fax_number": "772-217-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE C",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-217-4422",
            "fax_number": "772-217-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ CORDERO",
        "first_name": "SANTOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "ACN501",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107787600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.