Individual provider · Type 1 NPI

Domingo Jose Cordero

Student in an Organized Health Care Education/Training Program · Hialeah, FL

NPI number 1114873429 Active

Practice location

750 E 25th St
Hialeah, FL 33013-3817

Call (305) 694-5440 Map

Mailing address

3150 NW 42nd Ave Apt E104
Coconut Creek, FL 33066-2181

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDRPM3006 (FL)
General Practice Dentistry 1223G0001X3006 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114873429

Domingo Jose Cordero's National Provider Identifier is 1114873429, issued on Mar 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hialeah, FL. The record was last updated on Sep 11, 2026.