Individual provider Active NPI

Edison J Charon, NL

  • Naturopath
  • Mayaguez, PR
National Provider Identifier
1396336830
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
195 Issued in PR
Practice address
Calle Balbino Trinta Urb. Rio Cristal #9244
Calle Balbino Trinta Urb. Rio Cristal #9244
Mayaguez, PR 00680
Phone
(787) 605-5305
NPI assigned
Jan 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 195 PR Primary

Addresses

Primary practice location

Calle Balbino Trinta Urb. Rio Cristal #9244
Calle Balbino Trinta Urb. Rio Cristal #9244
Mayaguez, PR 00680

Mailing address

Calle Balbino Trinta Urb. Rio Cristal #9244
Calle Balbino Trinta Urb. Rio Cristal #9244
Mayaguez, PR 00680
Phone (787) 605-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
195PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1396336830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BALBINO TRINTA URB. RIO CRISTAL #9244",
            "address_2": "CALLE BALBINO TRINTA URB. RIO CRISTAL #9244",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-605-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALBINO TRINTA URB. RIO CRISTAL #9244",
            "address_2": "CALLE BALBINO TRINTA URB. RIO CRISTAL #9244",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-605-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARON",
        "first_name": "EDISON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "NL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PR",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.