Active NPI
Lynnet Eve Cordero, PA
- Physician Assistant
- Vega Baja, PR
National Provider Identifier
1891438149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 718
- Practice address
- 104B Calle Marcos Lopez
Vega Baja, PR 00693-5068 - Phone
- (813) 535-2550
- NPI assigned
- Apr 14, 2022
- Last updated
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 718 | PR | Primary |
Addresses
Primary practice location
104B Calle Marcos Lopez
Vega Baja, PR 00693-5068
Mailing address
1410 Atlantic Dr
Ruskin, FL 33570-4911
Phone (813) 535-2550
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718 | PR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1891438149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 ATLANTIC DR",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335704911",
"telephone_number": "813-535-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104B CALLE MARCOS LOPEZ",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006935068",
"telephone_number": "813-535-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "LYNNET",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
- Minerliz Colon Melendez, MS, PHL
- Michelle Marie Colon Rivera, RDN, LND
- Divya Christine Colon-Alcaraz, DMD
- Consultorio Fisioterapia Dra. Cintron, Inc.
- Ida Regina Cordero, M.D.
- Nina Carola Cordero, DMD
- Myrna I Cordova, R.P.T.
- Carely Cortes Hernandez, M.S.W.
- Lizzy A Cortes-Rivera
- Cortis Rep Puerto Rico LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.