Individual provider Active NPI

Victor Jose Cardona - Velez, M.D.

  • Internal Medicine Physician
  • San Lorenzo, PR
National Provider Identifier
1528020419
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12362 Issued in PR
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

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
81511OtherPRSSS

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
I20040211000565 PR Practitioner - Internal MedicinePractitioner - Anesthesiology 9830083781 Practice locations: San Lorenzo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12362PRMDInternal 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

Verify at the official NPI Registry.