Osvaldo Carlos Cardona Gonzalez, MD
Individual provider Active NPI Surgery Physician · Mayaguez, PR
NPI 1336646207 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1336646207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 22295 (PR)
- Practice address
- 410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500 - Phone
- (787) 652-9200
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayaguez Medical Center Dr Ramon Emeterio Betances Inc
Practice addresses (Care Compare)
P O Box
Suite 600
Mayaguez, PR 00681-1838
PO Box
Suite 600
Mayaguez, PR 00681-1838
Hospital & facility affiliations
- Mayaguez Medical Center Dr Ramon Emeterio Betances
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 11 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101003519 | PR | Practitioner - General Surgery | 3173979788 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Current |
Accepting new patients |
Locations
410 Ave Hostos
Ste 2
Mayaguez, PR 00682
Phone (787) 360-3244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22295 | PR | Yes |
Addresses
Primary practice location
410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500
Mailing address
454 J C Barbosa
Moca, PR 00676
Phone (787) 431-1758
Other practice location 1
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080
Other providers in Mayaguez, PR
- Luis Daniel Carcorze Soto
- Cardiology Elite, P.C.
- Cardiovascular Surgery of PR
- Cardiovascular Surgery of PR Western Corp
- Cardiowest Clinica Cardiovascular LLC
- Maricarmen Cardona-Bosque
- Hiram Cardona-Martinez
- Armando Oscar Cardona-Ramirez
- Enoc Cardona
- Caribbean Cardiac & Thoracic Surgery Institute, LLC
All providers in Mayaguez, PR · Surgery Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.