Active NPI
Christian Cardona, R.N.
- Licensed Vocational Nurse
- Trujillo Alto, PR
National Provider Identifier
1558642777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 17252
- Practice address
- El Conquistador
St. 5 L-54
Trujillo Alto, PR 00976 - Phone
- (787) 667-4430
- Fax
- (787) 761-3840
- NPI assigned
- Sep 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 17252 | PR | Primary |
Addresses
Primary practice location
El Conquistador
St. 5 L-54
Trujillo Alto, PR 00976
Mailing address
Urb. El Conquistador
Calle 5 L-54
Trujillo Alto, PR 00976
Phone (787) 667-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17252 | Other | PR | NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17252 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1558642777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. EL CONQUISTADOR",
"address_2": "CALLE 5 L-54",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-667-4430",
"fax_number": "787-761-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EL CONQUISTADOR",
"address_2": "ST. 5 L-54",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-667-4430",
"fax_number": "787-761-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "CHRISTIAN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "PR",
"license": "17252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE",
"identifier": "17252",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
- Edgar Cabrera Betancourt
- Ian Daniel Cacho Santana
- Lydia Victoria Camacho
- Andrea Del Mar Cardona Acevedo, PHARMD
- Emilia Del C Cardona Rivera, DMD
- Caribbean Optometrics, Inc.
- Kelvin Manuel Carrasquillo - Cirino, RN
- Krismarie Carrasquillo Nieves
- Lizbeth Gomez Carrasquillo I, PHYSICAL THERAPIST
- Nicholle Alexandra Carrion-Tio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.