Leisa Jimenez-cordero, is a
General Practice based in Kissimmee, Florida. Leisa Jimenez-cordero is licensed to practice in Puerto Rico (license number 24206) and her current practice location is
3431 Palmer Dr, Kissimmee, Florida. She can be reached at her office (for appointments etc.) via phone at
(787) 636-9110.
NPI number for Leisa Jimenez-cordero is 1487259693 and her current mailing address is 3431 Palmer Dr, Kissimmee, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487259693.
Provider's Profile
| Full Name | Leisa Jimenez-cordero |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
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| Location | 3431 Palmer Dr, Kissimmee, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487259693
- Provider Enumeration Date: 12/03/2020
- Last Update Date: 01/16/2025
Medical Identifiers
Medical identifiers for Leisa Jimenez-cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487259693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 876 (Puerto Rico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 98 (Florida) | Secondary |
| 208D00000X | General Practice | 24206 (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. Leisa Jimenez-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 |
|---|
Leisa Jimenez-cordero,
3431 Palmer Dr,
Kissimmee, FL 34741-6774
Ph: (787) 636-9110 | Leisa Jimenez-cordero,
3431 Palmer Dr,
Kissimmee, FL 34741-6774
Ph: (787) 636-9110 |
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