Cordova Medical Group Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CORDOVA MEDICAL GROUP CORP

Practice address

12750 NW 17TH St Unit 215
Miami, FL 33182-1422

Phone

(786) 554-2254

Fax

(888) 503-1582

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Yaquelin Rodriguez, PANPI 1093147738

Title

Owner

Phone

(786) 554-2254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yaquelin Rodriguez, PA

  • Clinic/Center
  • Miami Beach, FL
  • NPI 1093147738
  NPD Authorized official
• Carmen Alonso, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1093401416
  Medicare reassignment
• Guillermo Somodevilla, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1124113782
  Medicare reassignment

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1740963149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "786-554-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "786-554-2254",
            "fax_number": "888-503-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YAQUELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-554-2254",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Cordon
• Dimitri Cordova Caballero
• Ricardo Borys Cordova Diaz, RBT
• Laura Cordova Enriquez, MD
• Cordova Medical Center
• Ninedty Cordova Muniz, APRN
• Lianna Cordova Navarro
• Barbara Patricia Cordova Penayos, RBT
• Dimitri Cordova Petrarca
• Cordova Rehabilitation Center Inc.

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.