LUIS MICHEL CORDOVA
NPI 1265233415
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since March 24, 2025PECOS Enrolled
11750 BIRD RD, MIAMI, FL 33175(786) 498-7039 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Luis Michel Cordova NPPES

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

LUIS MICHEL CORDOVA (NPI 1265233415) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265233415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUIS MICHEL CORDOVA
Location Address11750 BIRD RDMiami, FL 33175-3530
Mailing Address11750 Bird RdMiami, FL 33175-3530
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 23, 2025
NPI 1265233415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11750 BIRD RD, Miami, FL 33175

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luis Michel Cordova 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11750 BIRD RD
MIAMI, FL 33175
Specialist/Technologist, Other (Surgical Assistant)
11750 BIRD RD
MIAMI, FL 33175
Internal Medicine
11750 BIRD RD
MIAMI, FL 33175
Nurse Practitioner
11750 BIRD RD
MIAMI, FL 33175
Specialist/Technologist, Other (Surgical Assistant)
11750 BIRD RD
MIAMI, FL 33175
Internal Medicine
11750 BIRD RD
MIAMI, FL 33175
Physician Assistant
11750 BIRD RD
MIAMI, FL 33175
Physician Assistant
11750 BIRD RD
MIAMI, FL 33175

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265233415, enumerated as an "individual" on March 24, 2025.

The provider is located at 11750 BIRD RD MIAMI, FL 33175 and the phone number is (786) 498-7039.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.