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

Mario Eleno De Castro Cordero III, FNP-C

Individual provider Family Nurse Practitioner · NPI 1942559323

Mario Eleno De Castro Cordero III, FNP-C is a Nurse Practitioner in San Tan Valley, Arizona. Qualified in 2012, 14 years ago. Practices with Good Health Medical PLLC, a 218-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5095
Phone: (480) 677-8282
Fax: (480) 535-0962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F0812566 (AZ)

Record details

NPI number1942559323
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 31, 2012
Last updated in NPPESMay 29, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Good Health Medical Pllc — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Tan Valley