Individual provider Active NPI

Oscar Francisco Cordero, D.D.S.

  • General Practice Dentistry
  • Aguadilla, PR
National Provider Identifier
1730187758
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2097 Issued in PR
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

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001557 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779883590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2097PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.