Myrna I Cordova, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

655 Issued in PR

Practice address

Carr #2 KM 40.5
Plaza Jardinez
Vega Baja, PR 00693

Phone

(787) 858-4845

Fax

(787) 858-4845

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Myrna Cordova Santiago

  • Physical Therapy Clinic/Center
  • Vega Baja, PR
  • NPI 1316131089
  NPD (past) Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1881683993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4375",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944375",
            "telephone_number": "787-858-4845",
            "fax_number": "787-858-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 40.5",
            "address_2": "PLAZA JARDINEZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-4845",
            "fax_number": "787-858-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MYRNA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "0084190",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divya Christine Colon-Alcaraz, DMD
• Consultorio Fisioterapia Dra. Cintron, Inc.
• Ida Regina Cordero, M.D.
• Lynnet Eve Cordero, PA
• Nina Carola Cordero, DMD
• Carely Cortes Hernandez, M.S.W.
• Lizzy A Cortes-Rivera
• David Gabriel Cotto Velez
• Cristina Lozada Optical
• Idalizze Cruz Cruz

• Physical Therapist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.