Marlene Tages Cordova, DO, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARLENE TAGES CORDOVA, DO, PA

Practice address

600 N Hiatus Rd Ste 201
Pembroke Pines, FL 33026-5207

Phone

(549) 526-6378

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Marlene Cordova

Title

President

Phone

(954) 392-7157

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lakeside Medical and Aesthetic Centre LC

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1801069224

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlene Tages Cordova, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1407856685
  Medicare reassignment NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1972021400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260626",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330267626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "549-526-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE TAGES CORDOVA, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-392-7157"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Nathan DC PA
• Averil Kayla Mark, M.S.,CCC-SLP
• Novia Markes, APRN
• Slavisa Markovic, MD
• Marlene Lora-Mejia Inc
• Marlenny Feliz MD PA
• Marlon J. Demeritt, OD, PA.
• Vivian Marmolejo, PT
• Ana Maria Marques Vega
• Samantha Marquez Morales

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.