Organization Active NPI

Edwin Cordero, MD, PA

  • Pediatrics Physician
  • Homestead, FL
National Provider Identifier
1982812335
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Sep 26, 2011

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
255912901MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Edwin Cordero MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.