Active NPIIndividual providerSole proprietor

Dr. Ed Manuel Borrero Cordero, MD

General Practice in Fort Pierce, Florida

NPI Number1639151772
Practice location
1404 S 28TH St, Fort Pierce, FL 34947-6999
Fax
—
Last updated
May 20, 2021

Ed Manuel Borrero Cordero is a General Practice based in Fort Pierce, FL. Ed Manuel Borrero Cordero practices in Fort Pierce, FL and has the professional credentials of MD. The NPI Number for Ed Manuel Borrero Cordero is 1639151772 and holds a License No. 15139 (PR). The current practice location address for Ed Manuel Borrero Cordero is 1404 S 28TH St, Fort Pierce, FL 34947-6999 and can be reached out via phone at 772-293-0770.

Provider Profile Details

NPI Number
1639151772
Provider Name
Ed Manuel Borrero Cordero
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1404 S 28TH St, Fort Pierce, FL 34947-6999
Phone Number
772-293-0770
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 15, 2005
Last Update Date
May 20, 2021
Certification Date
May 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1404 S 28TH St
Fort Pierce, FL 34947-6999
State
Florida
Zip
34947-6999
Phone Number
772-293-0770
Fort Pierce, FL 34947Get directions →

Provider Business Mailing Address Details

Address
12171 SW 268TH St
Homestead, FL 33032-8001
City
Homestead
State
FL
Zip
33032-8001
Phone Number
787-502-4234

License Information

License Number (1)
15139
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
ACN696
License State (2)
FL
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ed Manuel Borrero Cordero, MD?

The NPI number of Dr. Ed Manuel Borrero Cordero, MD is 1639151772. It was assigned on November 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Ed Manuel Borrero Cordero, MD?

Dr. Ed Manuel Borrero Cordero, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 15139.

Where does Dr. Ed Manuel Borrero Cordero, MD practice?

The practice location is 1404 S 28TH St, Fort Pierce, FL 34947-6999. The office can be reached at 772-293-0770 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639151772 directly on the NPPES registry website.

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