Mayra Ivette Cordero Gonzalez, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

Carretera 107 Edificio Plaza del Mar
Aguadilla, PR 00603

Phone

(787) 641-9133

NPI assigned

Mar 1, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1669128583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB JARDINES DE RINCON CALLE 2, CASA D8",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-605-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 107 EDIFICIO PLAZA DEL MAR",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-641-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO GONZALEZ",
        "first_name": "MAYRA",
        "middle_name": "IVETTE",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Conti
• Liza Marie Conty, PH.D.; M.ED.; B.A.
• Cooperativa de Servicios Medicos de Puerto Rico
• Cordero & Sepulveda Inc
• Liyalina Cordero Gonzalez
• Grisselle Cordero Mendez, PH.D.
• Julio Cesar Cordero
• Oscar Francisco Cordero, D.D.S.
• Drury Corley, PA-C
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

• Clinical Social Worker in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.