Cardona Pain & Anesthesia

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME84122 Issued in FL

Legal business name

CARDONA PAIN & ANESTHESIA

Practice address

601 University Blvd
Suite 205
Jupiter, FL 33458-2788

Phone

(561) 624-0702

Fax

(561) 624-0773

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberto L Duran, M.D.NPI 1619915964

Title

Owner

Phone

(561) 624-0702

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• None Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Roberto L Duran, MD

  • Interventional Pain Medicine Physician
  • Jupiter, FL
  • NPI 1619915964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1407053606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 SW CABIN PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904213",
            "telephone_number": "561-624-0702",
            "fax_number": "561-624-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-624-0702",
            "fax_number": "561-624-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDONA PAIN & ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-624-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME84122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11542195",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1407053606",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERONAL",
            "identifier": "1619915964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH762",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "ME84122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dominick M Caracciolo, PA-C
• Debra Lee Caramagno, A.P. , L.N.
• Denise Vilchez Cardenal, MD
• Cardiocare Heart and Vascular Center PLLC
• Cardiovascular Medical Specialists of the Palm Beaches PA
• Marlaina Fruggiero Cardoza, CRNA
• Care for You Florida
• Gendy Carela-Kirby, M.D.
• Carelink International
• Caresouth HHA Holdings of the Treasure Coast, LLC

• Pain Medicine (Anesthesiology) Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.