Individual provider Active NPI

Victor J Cardona Munoz, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1487706974
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11727 Issued in PR
Practice address
611 Manuel Pavia Fernandez St.
Pavia Medical Plaza, Suite 206
San Juan, PR 00909
Phone
(787) 728-6212
Fax
(787) 728-8587
NPI assigned
Jan 17, 2007
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 11727 PR Primary

Addresses

Primary practice location

611 Manuel Pavia Fernandez St.
Pavia Medical Plaza, Suite 206
San Juan, PR 00909

Mailing address

47A Calle Almendro
Punta Las Marias
San Juan, PR 00913-4630
Phone (787) 728-6212

Other identifiers 2

IdentifierTypeStateIssuer
080134OtherPRPROVIDER NO. CRUZ AZUL
8000653OtherPRHUMANA INSURANCE

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
I20110701000072 PR Practitioner - Physical Medicine and Rehabilitation 3375721897 Practice locations: San Juan, PR; Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Pavia Medical PLZ I of
206 Calle Manuel Pavia 611
San Juan, PR 00909
Phone (787) 728-6212

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1487706974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47A CALLE ALMENDRO",
            "address_2": "PUNTA LAS MARIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134630",
            "telephone_number": "787-728-6212",
            "fax_number": "787-728-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MANUEL PAVIA FERNANDEZ ST.",
            "address_2": "PAVIA MEDICAL PLAZA, SUITE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-728-6212",
            "fax_number": "787-728-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA MUNOZ",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "11727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO. CRUZ AZUL",
            "identifier": "080134",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "8000653",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.