Active NPI
Domingo Chardon, M.D.
- Specialist
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9184
- Practice address
- 917 Ave Tito Castro
Saint Lukes Memorial Hospital
Ponce, PR 00731-0000 - Phone
- (787) 844-0705
- Fax
- (787) 844-0706
- NPI assigned
- Feb 7, 2006
- Last updated
- Dec 1, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 9184 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Saint Lukes Memorial Hospital
Ponce, PR 00731-0000
Mailing address
PO Box 518
Mercedita, PR 00715-0518
Phone (787) 844-0705
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Centro Inc
Practice addresses (Care Compare)
1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025
909 Ave Tito Castro Torre Medica San
Suite 514
Ponce, PR 00716-4728
Phone (787) 844-0705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Pulmonary Diseases CSP | Pulmonary Disease | Current | Accepting new patients |
Locations
909 Ave Tito Castro
Ste 514
Ponce, PR 00716
Phone (787) 844-0705
917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314
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.
-
- Pulmonary Disease Physician
- Ponce, PR
- NPI 1720241169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1104898733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 518",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150518",
"telephone_number": "787-844-0705",
"fax_number": "787-844-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"address_2": "SAINT LUKES MEMORIAL HOSPITAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007310000",
"telephone_number": "787-844-0705",
"fax_number": "787-844-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARDON",
"first_name": "DOMINGO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "9184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.