Individual provider Active NPI

Carmelo E Zeno Cardona, MD, MS, CRP

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1316946833
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7926 Issued in PR
Practice address
96 Calle Jose Linares
Quebradillas, PR 00678-1902
Phone
(787) 895-4010
Fax
(787) 895-4010
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7926 PR Primary

Addresses

Primary practice location

96 Calle Jose Linares
Quebradillas, PR 00678-1902

Mailing address

PO Box 1296
Quebradillas, PR 00678-1296
Phone (787) 895-4010

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
I20070320000362 PR Practitioner - General Practice 0648373217 Practice locations: Quebradillas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jose Linares
Suite 96
Quebradillas, PR 00678-1296
Phone (787) 895-4010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7926PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1316946833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781296",
            "telephone_number": "787-895-4010",
            "fax_number": "787-895-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CALLE JOSE LINARES",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781902",
            "telephone_number": "787-895-4010",
            "fax_number": "787-895-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENO CARDONA",
        "first_name": "CARMELO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD, MS, CRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.