Individual provider Active NPI

Alejandra Victoria Cardona Perez, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1023784964
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36634 Issued in WV
Practice address
3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215
Phone
(304) 388-8240
NPI assigned
Aug 20, 2021
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36634 WV Primary
Internal Medicine Physician 207R00000X 11022959A IN

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215

Mailing address

400 Association Dr Ste 102
Charleston, WV 25311-1298
Phone (304) 388-0053

Other practice location 1

225 Gran Boulevard APT 92
Caguas, PR 00727
Phone (787) 237-2846

Other practice location 2

Escuela de Medicina San Juan Bautista Carr. 172
Caguas, PR 00727
Phone (787) 743-3038

Other practice location 3

1120 W Michigan St # Cl630
Indianapolis, IN 46202-5209
Phone (317) 278-2862

Other identifiers 1

IdentifierTypeStateIssuer
1023784964MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612003093 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5092172791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11022959AINMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1023784964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DR STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111298",
            "telephone_number": "304-388-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041215",
            "telephone_number": "304-388-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Gran Boulevard APT 92",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00727",
            "country_code": "US",
            "telephone_number": "787-237-2846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Escuela de Medicina San Juan Bautista Carr. 172",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00727",
            "country_code": "US",
            "telephone_number": "787-743-3038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 W Michigan St # Cl630",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-278-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA PEREZ",
        "first_name": "ALEJANDRA",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "36634",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11022959A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023784964",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.