MEDICARE: SIUKEI CORDERO ENG NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11039780	FL

General Provider Information

NPI Number	:	1841083144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIUKEI CORDERO ENG NP

Provider Business Mailing Address
First Line	:	7937 VENETIAN ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-2447
Country	:	US
Telephone Number	:	786-487-7886
Fax Number	:

Provider Business Practice Location Address
First Line	:	17933 NW 7TH ST STE 102
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2812
Country	:	US
Telephone Number	:	954-436-1927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	03/16/2026

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Directions to “ SIUKEI CORDERO ENG NP” Practice Location

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