Individual provider Active NPI

Osvaldo L Cardona, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Aguadilla, PR
National Provider Identifier
1467454280
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
11919 Issued in PR
Practice address
Centro Plaza Professional Building
Carr 107 KM 2.4
Aguadilla, PR 00603
Phone
(939) 545-6601
Fax
(939) 545-6601
NPI assigned
Aug 11, 2005
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11919 PR Primary

Addresses

Primary practice location

Centro Plaza Professional Building
Carr 107 KM 2.4
Aguadilla, PR 00603

Mailing address

PO Box 3768
San Sebastian, PR 00685-3768
Phone (787) 299-0487

Other practice location 1

Hospital Buen Samaritano
Rd. #2 Km. 141.1, Severiano Cuevas Ave.
Aguadilla, PR 00605
Phone (787) 882-4946

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
I20080222000073 PR Practitioner - Endocrinology 5092899500 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Salud de Lares IncGroup PAC ID 0840272985, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

1800 Ave Emerito Estrada
San Sebastian, PR 00685-3030
Phone (787) 897-2727

Ave Juan Hernandez Pueblo Ward Sr
112 Tavarez BLDG S 2 S 4
Isabela, PR 00662-3602
Phone (787) 897-2727

Avenida Dr Susoni
Suite 121
Hatillo, PR 00659
Phone 7878984190406

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo CurrentSince Feb 10, 2024 Accepting new patients
Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients

Locations

121 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 314-5291

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, 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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1467454280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853768",
            "telephone_number": "787-299-0487",
            "fax_number": "939-545-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PLAZA PROFESSIONAL BUILDING",
            "address_2": "CARR 107 KM 2.4",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-545-6601",
            "fax_number": "939-545-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Buen Samaritano",
            "address_2": "Rd. #2 Km. 141.1, Severiano Cuevas Ave.",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00605",
            "country_code": "US",
            "telephone_number": "787-882-4946",
            "fax_number": "787-882-4946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "OSVALDO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "11919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.