Provider Demographics
NPI:1285858761
Name:CORDERO, RAYZA CARIDAD (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYZA
Middle Name:CARIDAD
Last Name:CORDERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 SW 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2524
Mailing Address - Country:US
Mailing Address - Phone:305-854-2276
Mailing Address - Fax:
Practice Address - Street 1:2700 SW 3RD AVE
Practice Address - Street 2:SUITE 1F
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2331
Practice Address - Country:US
Practice Address - Phone:305-285-2574
Practice Address - Fax:305-285-5505
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98315208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics