Individual provider Active NPI

Juan Luis Vilaro-Chardon, MD

  • Nephrology Physician
  • Ponce, PR
National Provider Identifier
1467564930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10908 Issued in PR
Practice address
Edificio Parra
Suite 302
Ponce, PR 00732
Phone
(787) 844-1248
Fax
(787) 840-1658
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10908 PR Primary

Addresses

Primary practice location

Edificio Parra
Suite 302
Ponce, PR 00732

Mailing address

49 Vigia St
Mansion del Sur
Coto Laurel, PR 00780-2085
Phone (787) 840-1658

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
I20040116000256 PR Practitioner - Internal MedicinePractitioner - Nephrology 0840191409 Practice locations: Juana Diaz, PR; Santa Isabel, PR; Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Ponce School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Calle Comercio
Juana Diaz, PR 00795-1647
Phone (787) 260-2334

609 Ave Tito Castro
Ponce, PR 00716-0200
Phone (787) 292-7979

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiology Group LLC PastSince Jun 4, 2023 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467564930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VIGIA ST",
            "address_2": "MANSION DEL SUR",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802085",
            "telephone_number": "787-840-1658",
            "fax_number": "787-840-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PARRA",
            "address_2": "SUITE 302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-844-1248",
            "fax_number": "787-840-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILARO-CHARDON",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.