Doctor Name: | DR. JULIO CESAR CORDERO |
NPI Number: | 1043277726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MEDICINE DOCTOR |
License Number: | 13899 |
Business Practice Address: | Ave. Pedro Albizu Campos Km 1.1 Marbella Aguadilla, PR - 00603 |
Business Phone Number: | 7878823440 |
Business Fax Number: | 7878953684 |
Mailing Address: | F # 3 Urb. San Carlos, AGUADILLA |
State: | PR |
Postal Code: | 00603 |
Phone Number: | 7879971896 |
Fax Number: | 7879971896 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |