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

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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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 and maintains a secondary practice location in Ponce.

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

Phone(772) 293-0770

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

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Secondary Practice Location 1

Location 1villa grillasca #1331, calle eduardo cuevasponce, PR 00717-0585 · Phone (787) 502-4234

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.

AMERICAN CARE OF CENTRAL FLORIDA, INC

Internal Medicine