Healthcare Provider Details

I. General information

NPI: 1548434061
Provider Name (Legal Business Name): YVETTE C CORDOVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NW 9TH AVE STE 201
MIAMI FL
33136-1101
US

IV. Provider business mailing address

1801 NW 9TH AVE STE 201
MIAMI FL
33136-1101
US

V. Phone/Fax

Practice location:
  • Phone: 786-466-8444
  • Fax: 305-573-6537
Mailing address:
  • Phone: 786-466-8444
  • Fax: 305-573-6537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME123870
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME123870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: