Individual provider Active NPI

Carlos Ananias Cedeno, MD

  • Hematology & Oncology Physician
  • Stuart, FL
National Provider Identifier
1104488618
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME179739 Issued in FL
Practice address
501 SE Osceola St Ste 301
Stuart, FL 34994-2347
Phone
(772) 419-2162
NPI assigned
Jul 3, 2019
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME179739 FL Primary

Addresses

Primary practice location

501 SE Osceola St Ste 301
Stuart, FL 34994-2347

Mailing address

501 SE Osceola St Ste 301
Stuart, FL 34994-2347
Phone (772) 419-2162

Other names 1

  • Carlos Ananias Cedeno Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address c.a.cedenomd@direct.sjch.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20250925005015 PR Practitioner - Internal Medicine 0648775056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 Calle Jose Oliver
Apt 509
San Juan, PR 00918

302 Calle Echinata
Bayamon, PR 00956-9265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22383PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sophrosyne Medical Alliance LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1104488618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST STE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942347",
            "telephone_number": "772-419-2162",
            "fax_number": "772-419-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST STE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942347",
            "telephone_number": "772-419-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "CARLOS",
        "middle_name": "ANANIAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME179739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "c.a.cedenomd@direct.sjch.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Calle Jose Oliver Apt 509",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009182979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "CEDENO",
            "middle_name": "ANANIAS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.