Cesar Cordero Sam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21642 Issued in PR

Practice address

839 Calle Anasco Apt 204
San Juan, PR 00925-2451

Phone

(787) 691-0766

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• San Juan Capestrano Hospital Inc.

  • Psychiatric Hospital
  • Rio Piedras, PR
  • NPI 1144293705
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1790172021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE ROAD 877 KM 1.6, CAMINO LAS LOMAS, RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252451",
            "telephone_number": "787-691-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO SAM",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "21642",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "21642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Cordero Olavarria
• Jose Augusto Cordero Pacheco, MD
• Limary Cordero Rivera, M.D.
• Sylvia B Cordero Rivera
• Luis Francisco Cordero Rodriguez, M.D.
• Nicolle Cordero Virella
• Rafael Cordero-Arill, M.D.
• Efrain Cordero-Rios, M.D. PH.D.
• Ana Cordero
• Camila Cordero

• Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.