Individual provider Active NPI

Hector Cardona Doble IX, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1417906751
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11751 Issued in PR
Practice address
1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026
Phone
(787) 977-1770
Fax
(787) 977-1774
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11751 PR Primary

Addresses

Primary practice location

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026

Mailing address

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026
Phone (787) 977-1770

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
I20051202000076 PR Practitioner - Urology 4688694847 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4039
Phone (787) 977-1770

Ponce de Leon
1431 Suite 601
San Juan, PR 00907-4039

Ponce de Leon Ave
1431 Suite 601
San Juan, PR 00907-4039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: hcardonadoble@1438.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1417906751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON",
            "address_2": "SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074026",
            "telephone_number": "787-977-1770",
            "fax_number": "787-977-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON",
            "address_2": "SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074026",
            "telephone_number": "787-977-1770",
            "fax_number": "787-977-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA DOBLE",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "name_suffix": "IX",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.