Puerto Rico Neurological Spine Surgery

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

13634 Issued in PR

Legal business name

PUERTO RICO NEUROLOGICAL SPINE SURGERY

Practice address

1845 Carr 2 Ste 702
Bayamon Medical Building
Bayamon, PR 00959-7206

Phone

(787) 522-5454

Fax

(787) 522-5473

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Francisco Cardona Duran, MDNPI 1396948840

Title

Chief Executive Officer

Phone

(787) 723-5553

Specialties & licenses 1

Addresses

Other names 1

• PR Neuro Spine Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael F Cardona Duran, M.D.

  • Neurological Surgery Physician
  • Guaynabo, PR
  • NPI 1396948840

  Neurological Surgery, PR

  Medicare reassignment NPD Authorized official
• Ivan Rene Cardona Campos, MD

  • Neurological Surgery Physician
  • Santurce, PR
  • NPI 1952473480

  Neurological Surgery

  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1144533746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 QUINTAS LAS AMERICAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257910",
            "telephone_number": "787-522-5454",
            "fax_number": "787-522-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR 2 STE 702",
            "address_2": "BAYAMON MEDICAL BUILDING",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-522-5454",
            "fax_number": "787-522-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO NEUROLOGICAL SPINE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "CARDONA DURAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "787-723-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "13634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR Neuro Spine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Silmarie Puentes
• Puerto Rico Advanced Urology Center, LLC
• Puerto Rico Children'S Hospital,Inc.
• Puerto Rico Health LLC
• Puerto Rico Interventional Endoscopy LLC
• Puerto Rico Pharmacy Corp.
• Puerto Rico Pulmonary Group LLC
• Puerto Rico Women and Children S Hospital LLC
• Puerto Ricon Clinical and Forensic Psychological Services Inc.
• Jean Carlos Pujals Kury, MD

• All providers in Bayamon, PR
• Neurological Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.