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1720217706 NPI number — DAVID CORDERO CRNA

NPI Number: 1720217706
Health Care Provider/Practitioner: DAVID CORDERO CRNA

Information about “1720217706” NPI (DAVID CORDERO CRNA) exists in 1720217706 in HTML format HTML  |  1720217706 in plain Text format TXT  |  1720217706 in PDF (Portable Document Format) PDF  |  1720217706 in an XML format XML  formats.

NPI Number : 1720217706 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720217706",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORDERO",
    "FirstName": "DAVID",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1613 HARRISON PKWY STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNRISE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33323-2853",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-437-2672",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2332 GALIANO ST # 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORAL GABLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33134-5402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-464-5496",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/10/2009",
    "LastUpdateDate": "04/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APRN9200103",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "ANT9200103",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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