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: October 18, 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 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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ed Manuel Borrero Cordero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1404 S 28TH ST
Fort Pierce, FL 34947
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Ed Manuel Borrero Cordero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ed Manuel Borrero Cordero reassigns Medicare benefits to American Care Of South Florida, Inc (Fort Pierce, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ed Manuel Borrero Cordero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.