Individual provider Active NPI

Lourdes Francesca Cordero, MED, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1730657479
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006759 Issued in PR
Practice address
914 Calle Zaragoza
Ponce, PR 00730-4013
Phone
(787) 702-4677
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PROCESS
Clinical Psychologist 103TC0700X 006759 PR Primary

Addresses

Primary practice location

914 Calle Zaragoza
Ponce, PR 00730-4013

Mailing address

914 Calle Zaragoza
Ponce, PR 00730-4013
Phone (787) 702-4677

Other practice location 1

5623 Paseo Morel Campos
Ponce, PR 00728-2455
Phone (787) 813-5700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
006759PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1730657479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 CALLE ZARAGOZA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304013",
            "telephone_number": "787-702-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 CALLE ZARAGOZA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304013",
            "telephone_number": "787-702-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5623 Paseo Morel Campos",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007282455",
            "country_code": "US",
            "telephone_number": "787-813-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "LOURDES",
        "middle_name": "FRANCESCA",
        "credential": "MED, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-01-29",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "PROCESS",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.