Provider Demographics
NPI:1861980625
Name:CORDERO RIVERA, LIMARY (MD)
Entity type:Individual
Prefix:
First Name:LIMARY
Middle Name:
Last Name:CORDERO RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14457
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00916-4457
Mailing Address - Country:US
Mailing Address - Phone:787-240-0046
Mailing Address - Fax:787-919-3956
Practice Address - Street 1:HPM FOUNDATION INC
Practice Address - Street 2:2020 AVENIDA BORINQUEN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-3822
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-771-7699
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19997208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR039904401Medicaid