Ana Cordova

Individual provider Active NPI Pediatric Hematology & Oncology Physician · Santurce, PR

NPI 1679557474 · NPPES record last updated May 4, 2026

Key facts

NPI
1679557474
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Hematology & Oncology Physician 2080P0207X
License
012902 (PR)
Practice address
252 Calle San Jorge
Suite 504
Santurce, PR 00912-3310
Phone
(787) 728-1575
Fax
(787) 726-0402
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12902PRMDSpecialist
012902PRMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jorge Childrens Medical Speialties Specialist Past
since Aug 11, 2024
Accepting new patients
SPR Pediatric & Aya Hematology-Oncology Partners LLC Pediatric Hematology-Oncology Past
since Jun 30, 2024
Accepting new patients
San Jorge Children'S Medical Specialties,PSC Specialist Past
since Aug 11, 2024
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcacordo@yourcarecommunity.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 012902 PR Yes
Specialist 174400000X 12902 PR

Addresses

Primary practice location

252 Calle San Jorge
Suite 504
Santurce, PR 00912-3310

Mailing address

252 Calle San Jorge
San Juan, PR 00912-3239
Phone (787) 728-1575

Other practice location 1

50 Calle Victoria Ste 20
Humacao, PR 00791-4494
Phone (939) 380-4787

Other identifiers

IdentifierTypeStateIssuer
6605457455OtherPRMEDICAL CARD SYSTEM
20427OtherTRIPLE S, INC.

Other providers in Santurce, PR

All providers in Santurce, PR · Pediatric Hematology & Oncology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.