Healthcare Provider Details

I. General information

NPI: 1740071117
Provider Name (Legal Business Name): CORDINA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4490 SW 5TH TER
MIAMI FL
33134
US

IV. Provider business mailing address

4490 SW 5TH TER
MIAMI FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 305-842-1212
  • Fax:
Mailing address:
  • Phone: 305-842-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: OSIEL PAEZ LIMA
Title or Position: CTO
Credential:
Phone: 305-842-1212