Dr Juan Carlos Cordero, MS, MA, PSYD is a
Psychologist - Clinical based in Fort Stewart, Georgia. Dr Juan Carlos Cordero is licensed to practice in Puerto Rico (license number 002740) and his current practice location is
1061 Harmon Ave, Fort Stewart, Georgia. He can be reached at his office (for appointments etc.) via phone at
(129) 435-7375.
NPI number for Dr Juan Carlos Cordero is 1831506476 and his current mailing address is 1061 Harmon Ave, Fort Stewart, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831506476.
Healthcare Provider's Profile
| Full Name | Dr Juan Carlos Cordero |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831506476
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Dr Juan Carlos Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831506476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 002740 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2740 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 002740 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Juan Carlos Cordero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Juan Carlos Cordero, MS, MA, PSYD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
Ph: (912) 435-7375 | Dr Juan Carlos Cordero, MS, MA, PSYD
1061 Harmon Ave,
Fort Stewart, GA 31314-5641
Ph: (129) 435-7375 |
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