Doctor Name: | NELSON E CORDERO-TORRES |
NPI Number: | 1033351184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1400 E Oakland Park Blvd Ste 210 Oakland Park, FL - 333344400 |
Business Phone Number: | 9545616222 |
Business Fax Number: | 9549907650 |
Mailing Address: | 350 S Miami Ave Apt 2911, MIAMI |
State: | FL |
Postal Code: | 331301930 |
Phone Number: | 7876326115 |
Fax Number: | 9549907650 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 10/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |