Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jorge L Cordova - Ruiz, MD

Individual provider General Practice Physician · NPI 1477967545

Mr. Jorge L Cordova - Ruiz, MD is a General Practice Physician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2014
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

100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966
Phone: (904) 829-0814
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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 019114 (PR)

Record details

NPI number1477967545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2014
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

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