Dr. Jose Augusto Cordero Pacheco, MD
Urology in San Juan, PR. Individual provider (NPI-1).
NPI number1699360552
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1699360552
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jose Augusto Cordero Pacheco
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2021
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 36952 | PR | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1699360552 | PR |
Practice location
Centro Medico San Juan Puerto Rico Barrio MonacillosSan Juan, PR 00935-0001
Phone 787-758-2525
Mailing address
Po Box 365067San Juan, PR 00936-5067
Phone 787-758-2525
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