Individual provider Active NPI

Efrain Cordero-Rios, M.D. PH.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1629093810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12717 Issued in PR
Practice address
10 Casia Street
VA Caribbean Healthcare System, Ambulatory Care SVC
San Juan, PR 00921-3201
Phone
(787) 758-7575
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12717 PR Primary

Addresses

Primary practice location

10 Casia Street
VA Caribbean Healthcare System, Ambulatory Care SVC
San Juan, PR 00921-3201

Mailing address

6410 Ave Isla Verde
Cond Los Pinos 3-C, Torre Este
Carolina, PR 00979-7166
Phone (787) 791-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12717PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629093810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 AVE ISLA VERDE",
            "address_2": "COND LOS PINOS 3-C, TORRE ESTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797166",
            "telephone_number": "787-791-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CASIA STREET",
            "address_2": "VA CARIBBEAN HEALTHCARE SYSTEM, AMBULATORY CARE SVC",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-758-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO-RIOS",
        "first_name": "EFRAIN",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.