Doctor Name: | DR. MORGAN LEONIDES CORDERO |
NPI Number: | 1205866621 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11184 |
Business Practice Address: | 5 St. Bloque 6 #27 Santa Rosa No.2 Bayamon, PR - 009598815 |
Business Phone Number: | 7879951313 |
Business Fax Number: | 7879951631 |
Mailing Address: | Po Box 372278, CAYEY |
State: | PR |
Postal Code: | 007372278 |
Phone Number: | 7879951313 |
Fax Number: | 7879951313 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |