Switzerland's justice ministry says it has granted US requests to extradite former Fifa vice president Eugenio Figueredo.
The 83-year-old Uruguayan, who is accused of bribery and fraudulently obtaining American citizenship, has 30 days to appeal the decision.
He was among seven football officials arrested on May 27 in early-morning hotel raids in Zurich, two days before the Fifa presidential election.
Figueredo, who has been detained in a Zurich prison, faces 20 years in prison on racketeering charges.
His term on the Fifa executive committee was due to expire on May 29.
Fifa has since suspended him from all football duty.
US authorities filed for his extradition in July.
"Figueredo is accused of receiving bribes worth millions of dollars from a Uruguayan sports marketing company in connection with the sale of marketing rights to the Copa America tournaments in 2015, 2016, 2019 and 2023," the Swiss ministry said.
"Figueredo is also alleged to have acquired US citizenship fraudulently by submitting forged medical reports in 2005 and 2006," the statement added.
Citing a mental condition, he was exempted from English language and civics tests to get citizenship.
"Figueredo submitted documentation explaining his mental disability that falsely stated that he had severe dementia," the Swiss ministry said.
Figueredo became president of the South American football body CONMEBOL in 2013 after his predecessor, Nicolas Leoz of Paraguay, resigned to avoid Fifa sanctions for taking bribes from a marketing agency which sold World Cup broadcasting rights.
Leoz is also among 14 football and marketing officials indicted by the US Department of Justice in May for allegedly being involved in bribery linked to hosting and broadcasting rights for the World Cup and continental tournaments in North and South America.