Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Luis Felipe Cordero, MD

Individual provider Family Medicine Physician · NPI 1922204478

Dr. Luis Felipe Cordero, MD is a General Practice in St Augustine, Florida. Qualified in 2016, 10 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
10
Licensed in
FL, PR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2460 Old Moultrie Rd Ste 5
St Augustine, FL 32086-4198
Phone: (904) 797-5740
Fax: (904) 797-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1274 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14263 (PR)

Record details

NPI number1922204478
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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