Individual
JOSE MANUEL CORDERO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1156 CALLE 62 SE, SAN JUAN, PR 00921-2724
(787) 758-2525
Mailing address
PO BOX 19044, SAN JUAN, PR 00910-1044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23370
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
23370
PR
Other
Enumeration date
02/16/2018
Last updated
07/04/2024
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