Active NPI
Oscar Francisco Cordero, D.D.S.
- General Practice Dentistry
- Aguadilla, PR
National Provider Identifier
1730187758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2097
- Practice address
- 24 Ave Severiano Cuevas
Suite 104
Aguadilla, PR 00603-5762 - Phone
- (787) 882-5205
- Fax
- (787) 997-5205
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2097 | PR | Primary |
Addresses
Primary practice location
24 Ave Severiano Cuevas
Suite 104
Aguadilla, PR 00603-5762
Mailing address
24 Severiano Cuevas Avenue Suite 104
Aguadilla, PR 00603
PA
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151201001557 | PR | Order and Referring Only - Oral Surgery | 3779883590 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2097 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar F Cordero of Dental CSP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Aguadilla, PR
- NPI 1407056773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1730187758",
"addresses": [
{
"country_code": "PA",
"country_name": "Panama",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "24 SEVERIANO CUEVAS AVENUE SUITE 104",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 AVE SEVERIANO CUEVAS",
"address_2": "SUITE 104",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006035762",
"telephone_number": "787-882-5205",
"fax_number": "787-997-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "OSCAR",
"middle_name": "FRANCISCO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
- Cordero & Sepulveda Inc
- Liyalina Cordero Gonzalez
- Mayra Ivette Cordero Gonzalez, SOCIAL WORKER
- Grisselle Cordero Mendez, PH.D.
- Julio Cesar Cordero
- Drury Corley, PA-C
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion Fondo Seguro Estado Aguadilla
- Samantha E Correa, OD
- Cortes Dermatology & Internal Medicine PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.