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Dr. Enery M Cordero- Guillama, M.D.

General Practice in Hatillo, PR. Individual provider (NPI-1).

NPI number1528095833
StatusActive
Last updated in NPPESAug 22, 2021

Details

NPI
1528095833
Entity type
Individual (NPI-1)
Name
Dr. Enery M Cordero- Guillama
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2006
Certification date
Aug 22, 2021
Last updated
Aug 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - GENERAL PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice15075PRYes

Practice location

121 Ave Dr Susoni
Hatillo, PR 00659-1843

Phone 787-262-8526 · Fax 787-898-1592

Mailing address

Po Box 850
Camuy, PR 00627-0850

Phone 787-898-5584 · Fax 787-898-5584

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Physician providers in Hatillo, PR

All 64 General Practice Physician providers in Hatillo · All 528 providers in Hatillo

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