Individual provider Active NPI

Omar David Cardona-Garcia, MD

  • Neurology Physician
  • Aguadilla, PR
National Provider Identifier
1205858602
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
15926 Issued in PR
Practice address
Carr 111 KM 2.3
Bo Palmar Int
Aguadilla, PR 00603
Phone
(787) 818-0300
NPI assigned
Jul 24, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 15926 PR Primary

Addresses

Primary practice location

Carr 111 KM 2.3
Bo Palmar Int
Aguadilla, PR 00603

Mailing address

PO Box 547
Moca, PR 00676-0547
Phone (787) 818-0300

Other names 1

  • Omar David Cardona-Garcia Other name

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
I20070910000403 PR Practitioner - Neurology 9739181082 Practice locations: Aguadilla, PR; Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 111 KM
3 Bo Palmar Int
Aguadilla, PR 00603

Carr 111 KM 2
Bo Palmar
Aguadilla, PR 00603
Phone (787) 818-0300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Neurologicos del Noroeste, C.S.P. Neurology Past Accepting new patients

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1205858602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760547",
            "telephone_number": "787-818-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 2.3",
            "address_2": "BO PALMAR INT",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-818-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA-GARCIA",
        "first_name": "OMAR",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "15926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "CARDONA-GARCIA",
            "middle_name": "DAVID",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.