Provider Demographics
NPI:1982774519
Name:CORDERO MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:CORDERO MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-293-6685
Mailing Address - Street 1:14055 SW 142ND AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6757
Mailing Address - Country:US
Mailing Address - Phone:786-293-6685
Mailing Address - Fax:786-293-6885
Practice Address - Street 1:14055 SW 142ND AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6757
Practice Address - Country:US
Practice Address - Phone:786-293-6685
Practice Address - Fax:786-293-6885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNOT REQ PROV TYPE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING PROVIDER #Medicare NSC