Active NPI
Victor Jose Cardona - Velez, M.D.
- Internal Medicine Physician
- San Lorenzo, PR
National Provider Identifier
1528020419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12362
- Practice address
- Galenos Centro de Medicina Interna
San Lorenzo Mall Local 42
San Lorenzo, PR 00754 - Phone
- (787) 400-3435
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12362 | PR | |
| Internal Medicine Physician | 207R00000X | 12362 | PR | Primary |
Addresses
Primary practice location
Galenos Centro de Medicina Interna
San Lorenzo Mall Local 42
San Lorenzo, PR 00754
Mailing address
111 Calle Malagueta
Urb. Ciudad Jardin
Gurabo, PR 00778-9660
Phone (787) 400-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81511 | Other | PR | SSS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040211000565 | PR | Practitioner - Internal Medicine | 9830083781 | Practice locations: San Lorenzo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12362 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1528020419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CALLE MALAGUETA",
"address_2": "URB. CIUDAD JARDIN",
"city": "GURABO",
"state": "PR",
"postal_code": "007789660",
"telephone_number": "787-400-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GALENOS CENTRO DE MEDICINA INTERNA",
"address_2": "SAN LORENZO MALL LOCAL 42",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "00754",
"telephone_number": "787-400-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA - VELEZ",
"first_name": "VICTOR",
"middle_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "12362",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "81511",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.