Provider Demographics
NPI:1245849751
Name:CORDERO OROPESA, REYNIER
Entity type:Individual
Prefix:
First Name:REYNIER
Middle Name:
Last Name:CORDERO OROPESA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 NW 97TH AVE STE 3230
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1418
Mailing Address - Country:US
Mailing Address - Phone:786-973-3468
Mailing Address - Fax:786-723-6840
Practice Address - Street 1:2520 NW 97TH AVE STE 3230
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1418
Practice Address - Country:US
Practice Address - Phone:786-534-4971
Practice Address - Fax:786-723-6840
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker