Ed Manuel Borrero Cordero, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN696 Issued in FL

Practice address

1404 S 28TH St
Fort Pierce, FL 34947-6999

Phone

(772) 293-0770

NPI assigned

Nov 15, 2005

Last updated

May 20, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• American Care of South Florida, Inc.

  • General Practice Physician
  • Miami, FL
  • NPI 1477754539
  Medicare reassignment
• American Care of South Florida, Inc.

  • General Practice Physician
  • Belle Glade, FL
  • NPI 1124348867
  NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1245385095
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1639151772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "787-502-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S 28TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349476999",
            "telephone_number": "772-293-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "villa grillasca #1331",
            "address_2": "calle eduardo cuevas",
            "address_purpose": "LOCATION",
            "city": "ponce",
            "state": "PR",
            "postal_code": "007170585",
            "country_code": "US",
            "telephone_number": "787-502-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRERO CORDERO",
        "first_name": "ED MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15139",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Bohsali, MD
• Marc Boland, LDO
• Thomas Bonasera
• Dawn Bond
• Anthony Bonilla
• Jessica Bottoms, COTA
• Betty Jean Bowe
• Craig Bowe
• Dawn A Bowe, BS
• Bowe's Retirement Home Inc.

• General Practice Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.