Claudia Cordoba Carrillo, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

18324 Issued in PR

Practice address

5102 Urb Serenna
Los Prados
Caguas, PR 00727-3308

Phone

(787) 601-4552

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Claudia Cordoba-Carrillo Professional name

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

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1639320856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 URB LAS NUBES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273150",
            "telephone_number": "787-601-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 URB SERENNA",
            "address_2": "LOS PRADOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273308",
            "telephone_number": "787-601-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA CARRILLO",
        "first_name": "CLAUDIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "27277",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "18324",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "18324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "CORDOBA-CARRILLO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cindy Nanette Cordero, RPH
• Hector Alejandro Cordero, M.D.
• Jorge Luis Cordero, M.D.
• Soraya Cordero, MA
• Victor H Cordero, MD
• Corphima
• Corporacion Asegurada Por Nuestra Organizacion Solidaria Inc. Sanos
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc.
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

• Critical Care Medicine (Internal Medicine) Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Critical Care Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.