Individual provider Active NPI

Nicole Zoe Hernandez-Cordero, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
National Provider Identifier
1861947137
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21788 Issued in PR
Practice address
Edificio 36 Calle Barbosa Esquina Rossy
Bayamon, PR 00960
Phone
(787) 777-3535
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21788 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21788 PR Primary

Addresses

Primary practice location

Edificio 36 Calle Barbosa Esquina Rossy
Bayamon, PR 00960

Mailing address

A19 Calle 4
Urb. Prado Alto
Guaynabo, PR 00966-3033
Phone (787) 342-9118

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220813000311 PR Practitioner - Endocrinology 8527441260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Edificio 36 Calle Barbosa
Esquina Rosy
Bayamon, PR 00960
Phone (787) 269-6590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21788PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Clinical Services LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 22, 2022 Accepting new patients

Locations

36 Calle Barbosa
Bayamon, PR 00961

J20 Calle 2
Bayamon, PR 00959
Phone (787) 261-5333

Interoperability endpoints

  • Direct secure messaging: nicole.hernandezcordero@3937.securemail.prognocis.com

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1861947137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A19 CALLE 4",
            "address_2": "URB. PRADO ALTO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663033",
            "telephone_number": "787-342-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO 36 CALLE BARBOSA ESQUINA ROSSY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-CORDERO",
        "first_name": "NICOLE",
        "middle_name": "ZOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-07-28",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21788",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.