DR. ED MANUEL BORRERO CORDERO M.D
NPI 1639151772
General Practice in Fort Pierce, FL

Active since November 15, 2005PECOS Enrolled
1404 S 28TH ST, FORT PIERCE, FL 34947(772) 293-0770 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ed Manuel Borrero Cordero M.d NPPES

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

DR. ED MANUEL BORRERO CORDERO M.D (NPI 1639151772) is an individual general practice provider in Fort Pierce, Florida, licensed in Florida (ACN696) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639151772
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ED MANUEL BORRERO CORDEROCredential: M.D
Location Address1404 S 28TH STFort Pierce, FL 34947-6999
Mailing Address12171 Sw 268th StHomestead, FL 33032-8001 · (787) 502-4234
Sole ProprietorYes
Enumeration DateNovember 15, 2005
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
NPI 1639151772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN696 Licensed in PR · 15139
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
1404 S 28TH ST, Fort Pierce, FL 34947

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. Ed Manuel Borrero Cordero M.d 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 5

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

Internal Medicine
1404 S 28TH ST
FORT PIERCE, FL 34947
General Practice
1404 S 28TH ST
FORT PIERCE, FL 34947
General Practice
1404 S 28TH ST
FORT PIERCE, FL 34947
Nurse Practitioner (Family)
1404 S 28TH ST
FORT PIERCE, FL 34947
Specialist
1404 S 28TH ST
FORT PIERCE, FL 34947

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 Ed Manuel Borrero Cordero's NPI number?

The NPI number for Ed Manuel Borrero Cordero is 1639151772. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Ed Manuel Borrero Cordero located?

Ed Manuel Borrero Cordero practices at 1404 S 28th St, Fort Pierce, FL 34947. The listed phone number is (772) 293-0770.

What is Ed Manuel Borrero Cordero's specialty?

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

Is Ed Manuel Borrero Cordero enrolled in Medicare?

Yes. Ed Manuel Borrero Cordero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ed Manuel Borrero Cordero was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.