Provider Demographics
NPI:1972251130
Name:CORDOVA, MARIA CAROLINA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CAROLINA
Last Name:CORDOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CALLE REY FERNANDO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3258
Mailing Address - Country:US
Mailing Address - Phone:787-675-6441
Mailing Address - Fax:
Practice Address - Street 1:234 CALLE REY FERNANDO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3258
Practice Address - Country:US
Practice Address - Phone:787-675-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program