Individual provider Active NPI

Jorge A Mundo-Sagardia, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1457386781
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13741 Issued in PR
Practice address
564B Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone
(787) 767-0072
NPI assigned
Jul 12, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13741 PR Primary

Addresses

Primary practice location

564B Calle Juan J Jimenez
San Juan, PR 00918-3722

Mailing address

776 Calle Interamericana
University Gardens
San Juan, PR 00927-4024
Phone (787) 460-2062

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
I20071004000619 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698860716 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

564 B Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 767-7660

University Gardens
776 Calle Interamericana
San Juan, PR 00927-4024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13741PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Maestros de P R CurrentSince Mar 1, 2008 Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1457386781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 CALLE INTERAMERICANA",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274024",
            "telephone_number": "787-460-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564B CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183722",
            "telephone_number": "787-767-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDO-SAGARDIA",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.