Individual provider Active NPI

Jose D Padron Carmona, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1598985251
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16453 Issued in PR
Practice address
917 Ave Tito Castro
Torre Medica San Lucas Suite 613
Ponce, PR 00716-4722
Phone
(787) 651-1426
Fax
(787) 913-0104
NPI assigned
Apr 26, 2007
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16453 PR Primary

Addresses

Primary practice location

917 Ave Tito Castro
Torre Medica San Lucas Suite 613
Ponce, PR 00716-4722

Mailing address

917 Ave Tito Castro
Torre Medica San Lucas Suite 613
Ponce, PR 00716-4722
Phone (787) 651-1426

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
I20080520000151 PR Practitioner - Internal Medicine 5991874752 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone (787) 843-9393

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1598985251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 613",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164722",
            "telephone_number": "787-651-1426",
            "fax_number": "787-913-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 613",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164722",
            "telephone_number": "787-651-1426",
            "fax_number": "787-913-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON CARMONA",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.