Active NPI
Edwin Cordero, MD, PA
- Pediatrics Physician
- Homestead, FL
National Provider Identifier
1982812335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- EDWIN CORDERO, MD, PA
- Practice address
- 100 NE 15TH St
Ste 101
Homestead, FL 33030-4581 - Phone
- (305) 245-8050
- Fax
- (305) 245-5950
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwin Cordero, M.D.
- Title
- Owner
- Phone
- (305) 274-0780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
100 NE 15TH St
Ste 101
Homestead, FL 33030-4581
Mailing address
9350 SW 72ND St
Miami, FL 33173-3286
Phone (305) 274-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255912901 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Edwin Cordero MD PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Miami, FL
- NPI 1073637401
-
- Pediatrics Physician
- Cutler Bay, FL
- NPI 1104011006
-
- Pediatrics Physician
- Miami, FL
- NPI 1831308154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1982812335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733286",
"telephone_number": "305-274-0780",
"fax_number": "888-781-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE 15TH ST",
"address_2": "STE 101",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304581",
"telephone_number": "305-245-8050",
"fax_number": "305-245-5950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN CORDERO, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "CORDERO",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-274-0780",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255912901",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.