Active NPI
Iris Rebecca Cardona, M.D.
- Pediatrics Physician
- Carolina, PR
National Provider Identifier
1093892168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9824
- Practice address
- Go7 Ave Campo Rico
Urb. Country Club
Carolina, PR 00982-2678 - Phone
- (787) 769-5500
- Fax
- (787) 762-9110
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9824 | PR | Primary |
Addresses
Primary practice location
Go7 Ave Campo Rico
Urb. Country Club
Carolina, PR 00982-2678
Mailing address
Mansiones de Villanova Calle BD1-18
San Juan, PR 00926
Phone (787) 731-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9824 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- sjcicardon@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093892168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANSIONES DE VILLANOVA CALLE BD1-18",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-731-0119",
"fax_number": "787-762-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GO7 AVE CAMPO RICO",
"address_2": "URB. COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822678",
"telephone_number": "787-769-5500",
"fax_number": "787-762-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "IRIS",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "9824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Edgardo Luis Carazo, MD
- Cardio Health CSP
- Cardiovascular Medical Systems Corp
- Cardiovascular Prophylaxis and Evolution
- Rocio Marie Cardona Munoz, M.D.
- Myrna Yaritza Cardona, D.M.D.
- Caremark Puerto Rico Specialty (CVS/specialty)
- Careway LLC
- Caribbean Wound Care Center
- Caribe Pharmacy Management LLC (Farmacia Caridad #2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.