Provider Demographics
NPI:1164547238
Name:CORDERO, CINDY NANETTE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:NANETTE
Last Name:CORDERO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 VIA DEL ROCIO
Mailing Address - Street 2:VALLE SAN LUIS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3355
Mailing Address - Country:US
Mailing Address - Phone:787-746-5427
Mailing Address - Fax:787-653-2840
Practice Address - Street 1:ANGORA INDUSTRIAL PARK
Practice Address - Street 2:LOTE 4 BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-286-6032
Practice Address - Fax:787-286-6042
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist