Active NPI
John Rodriguez Cordero, MD
- General Practice Physician
- Miami, FL
National Provider Identifier
1841847068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- HSE30383
- Practice address
- 5200 NE 2ND Ave
Miami, FL 33137-2706 - Phone
- (787) 505-1782
- NPI assigned
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 389-P.A. | PR | |
| General Practice Physician | 208D00000X | HSE30383 | FL | Primary |
Addresses
Primary practice location
5200 NE 2ND Ave
Miami, FL 33137-2706
Mailing address
58 NE 14TH St Apt 2424
Miami, FL 33132-1471
Phone (787) 505-1782
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSE30383 | FL | MD | General Practice Physician |
| 389-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1841847068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 NE 14TH ST APT 2424",
"city": "MIAMI",
"state": "FL",
"postal_code": "331321471",
"telephone_number": "787-505-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 NE 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331372706",
"telephone_number": "787-505-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ CORDERO",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "389-P.A.",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "HSE30383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.