MOISES AMET HERNANDEZ CORDERO (NPI# 1164072377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072377 |
| Entity Type | Individual |
| Full Name | MOISES AMET HERNANDEZ CORDERO |
| Credential | DC |
| Practice Address |
13627 Baltimore Ave # 4 Laurel MD 20707-5095 |
| Practice Telephone | 3017080888 |
| Practice Fax Number | 3014310010 |
| Mailing Telephone | 3017080888 |
| Mailing Fax Number | 3014310010 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03983 | MD | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957460 | Moises Hernandez Cordero | Student in an Organized Health Care Education/Training Program | Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-23 |
| Street Address |
13627 BALTIMORE AVE # 4 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420536 | Tiffany T Butler | Chiropractor | 7901 Laurel Lakes Ct, 2nd Floor, Laurel, MD 20707-5070 | 2012-01-20 |
| 1033449095 | Daniel B Herrington Dc Inc | Chiropractor | 1309 Highway 15 N, Suite C, Laurel, MS 39440-2652 | 2010-01-13 |
| 1003142217 | Daniel Brandon Herrington | Chiropractor | 1309 Highway 15 N Ste C, Laurel, MS 39440-2652 | 2009-10-22 |
| 1225217334 | Active Physical Therapy Services, LLC | Chiropractor | 14405 Laurel Pl, Ste 102, Laurel, MD 20707-6102 | 2007-10-25 |
| 1912121880 | Allcare Chiropractic,llc | Chiropractor | 525 Main St Ste 105, Laurel, MD 20707 | 2007-04-12 |
| 1760500581 | Pfaff Clinic of Chiropractic Inc | Chiropractor | 104 E 1st St, Laurel, MT 59044-3030 | 2007-03-27 |
| 1033254404 | Dak R Fike | Chiropractor | 720 1st Ave Ste 2, Laurel, MT 59044-2147 | 2007-02-21 |
| 1669510814 | Christine Diana Mcallister Galaher | Chiropractor | 518 N 7th Ave, Laurel, MS 39440 | 2007-02-01 |
| 1265588297 | Netherland Enterprises, Inc. | Chiropractor | 1309b Highway 15 N, Laurel, MS 39440-2652 | 2007-01-25 |
| 1194880252 | Geoffrey Lamar Galaher | Chiropractor | 518 N 7th Avenue, Laurel, MS 39440 | 2006-12-27 |
| Find all providers in LAUREL | ||||
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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.