DR. RAFAEL EDUARDO CORDERO (NPI# 1629154620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154620 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL EDUARDO CORDERO |
| Credential | D.D.S. |
| Practice Address |
3345 Burns Rd Ste. # 203 Palm Beach Gardens FL 33410-4324 |
| Mailing Address |
3345 Burns Rd Ste 203 Palm Beach Gardens FL 33410-4305 |
| Practice Telephone | 5615575909 |
| Practice Fax Number | 5615575918 |
| Mailing Telephone | 5615575909 |
| Mailing Fax Number | 5615575918 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12671 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309507 | Rafael Cordero IIi | Social Worker | 7 Hilltop Ter, New Hartford, NY 13413-2024 | 2017-07-24 |
| Street Address |
3345 BURNS RD STE. # 203 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913308 | Carolyn A Houss | Family Medicine | 3345 Burns Rd, Ste 101, Palm Beach Gardens, FL 33410-4304 | 2005-09-22 |
| 1013360320 | Surgicath LLC | Clinic/Center | 3345 Burns Rd, Ste 106, Palm Beach Gardens, FL 33410-4324 | 2016-07-21 |
| 1174983969 | Janine M. Beattie | Substance Abuse Rehabilitation Facility | 3345 Burns Rd, 302, Palm Beach Gardens, FL 33410-4324 | 2016-03-07 |
| 1952776270 | Dr. Edwin W. Maldonado, M.d., P.l. | Pain Medicine | 3345 Burns Rd, Suite 202, Palm Beach Gardens, FL 33410-4324 | 2015-12-11 |
| 1801260377 | Chun Ha | Physical Therapist | 3345 Burns Rd, Suite 202, Palm Beach Gardens, FL 33410-4324 | 2015-11-21 |
| 1598134348 | Henrietta Carreon Caday | Nurse Practitioner | 3345 Burns Rd, Suite 105, Palm Beach Gardens, FL 33410-8358 | 2015-09-23 |
| 1568847721 | Cima Health LLC | Chiropractor | 3345 Burns Rd, Suite 306, Palm Beach Gardens, FL 33410-4324 | 2015-07-29 |
| 1184002453 | Patricia Molle | Nurse Practitioner | 3345 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4324 | 2015-05-07 |
| 1376955526 | Second Wind Healthcare LLC | Internal Medicine | 3345 Burns Rd, Suite 302, Palm Beach Gardens, FL 33410-4324 | 2014-05-22 |
| 1184053407 | Dr. James Paul Cima Inc | Chiropractor | 3345 Burns Rd, Suite 306, Palm Beach Gardens, FL 33410-4324 | 2013-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336331693 | Pawel D Fotek | Dentist | 11641 Kew Gardens Ave, Ste 209, Palm Beach Gardens, FL 33410-2846 | 2007-08-10 |
| 1932272754 | Lee Robert Cohen | Dentist | 4520 Donald Ross Road, Suite 110, Palm Beach Gardens, FL 33410 | 2006-11-17 |
| 1063953875 | Pawel D Fotek Dmd Pllc | Dentist | 11641 Kew Gardens Ave, Suite 209, Palm Beach Gardens, FL 33410-2763 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
| 1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
| 1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
| 1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
| 1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
| 1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
| 1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.