DR. PEDRO RAFAEL CORDOVA AMADOR SR. MD
NPI 1083220198
General Practice in San Sebastian, PR

Q: What is Pedro Cordova Amador's NPI number?

The NPI number for Pedro Cordova Amador is 1083220198. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Q: What is Pedro Cordova Amador's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 23, 2020PECOS Enrolled

PR- 111 KM 14.6, BO. HATO ARRIBA, SAN SEBASTIAN, PR 00685(939) 699-6177(939) 699-6176 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2024, Sep 23, 2020 (2 updates tracked since 2020).

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About Dr. Pedro Rafael Cordova Amador Sr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PEDRO RAFAEL CORDOVA AMADOR SR. MD (NPI 1083220198) is an individual general practice provider in San Sebastian, Puerto Rico, licensed in Puerto Rico (22006) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083220198

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. PEDRO RAFAEL CORDOVA AMADOR SR.Credential: MD

Location AddressPR- 111 KM 14.6, BO. HATO ARRIBASan Sebastian, PR 00685

Mailing Address148 Chalets De La PlayaVega Baja, PR 00693-9748 · (787) 975-6000 · Fax (787) 699-6176

Phone(939) 699-6177

Fax(939) 699-6176

Sole ProprietorYes

Enumeration DateSeptember 23, 2020

Last NPPES UpdateFebruary 10, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1083220198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 22006

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pedro Rafael Cordova Amador Sr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Cordova Amador's NPI number?

The NPI number for Pedro Cordova Amador is 1083220198. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Pedro Cordova Amador located?

Pedro Cordova Amador practices at Pr- 111 Km 14.6, Bo. Hato Arriba, San Sebastian, PR 00685. The listed phone number is (939) 699-6177.

What is Pedro Cordova Amador's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pedro Cordova Amador enrolled in Medicare?

Yes. Pedro Cordova Amador is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pedro Cordova Amador was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.