Individual provider Active NPI

Jose M Cardona, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1427433820
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21250 Issued in PR
Practice address
516 Calle Juan J Jimenez
San Juan, PR 00918-2605
Phone
(787) 940-4094
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 21250 PR Primary

Addresses

Primary practice location

516 Calle Juan J Jimenez
San Juan, PR 00918-2605

Mailing address

516 Calle Juan J Jimenez
San Juan, PR 00918-2605
Phone (787) 940-4094

Other practice location 1

Sergio Cuevas Bustamante Street #550, Ave Domenech
San Juan, PR 00918
Phone (787) 758-8383 ext. 8494

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
I20191009000895 PR Practitioner - General Practice 1759612559 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21250PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qualimed Aesthetics LLC General Practice CurrentSince Aug 1, 2021 Accepting new patients
Asociacion Hospital del Maestro Past Accepting new patients

Locations

516 Calle Juan J Jimenez
San Juan, PR 00918
Phone (787) 903-1058

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1427433820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182605",
            "telephone_number": "787-940-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182605",
            "telephone_number": "787-940-4094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sergio Cuevas Bustamante Street #550, Ave Domenech",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-758-8383 x8494",
            "fax_number": "787-763-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.