Individual provider Active NPI

Carlos Perez Cardona, M.D.

  • Specialist
  • Mayaguez, PR
National Provider Identifier
1548277361
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7688 Issued in PR
Practice address
1065 Corazones Ave.
Suite 102
Mayaguez, PR 00680
Phone
(787) 834-1575
Fax
(787) 831-1011
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7688 PR Primary

Addresses

Primary practice location

1065 Corazones Ave.
Suite 102
Mayaguez, PR 00680

Mailing address

PO Box 1508
Mayaguez, PR 00681-1508
Phone (787) 652-3800

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
I20100803000446 PR Practitioner - Orthopedic Surgery 0143353706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayaguez Orthopedics PSCGroup PAC ID 6800929464, 3 clinicians

Practice addresses (Care Compare)

877 Ave Hostos
Mayaguez, PR 00680-1512
Phone (787) 652-3800

Hospital & facility affiliations

  • Arecibo Medical Home Care Home health agency, Arecibo, PR, CCN 407027
  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement31
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortopedas Asociados del Oeste Specialist Past Accepting new patients
Bella Vista Hospital Inc Past Accepting new patients

Organizations & group practices 3

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 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1548277361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811508",
            "telephone_number": "787-652-3800",
            "fax_number": "787-652-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 CORAZONES AVE.",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-1575",
            "fax_number": "787-831-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARDONA",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.