Individual provider Active NPI

Maria Isabel Cardona, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1619050523
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9532 Issued in PR
Practice address
611 Calle Dr Pavia Fernandez
Suite 108
San Juan, PR 00909-2239
Phone
(787) 726-9048
Fax
(787) 726-7444
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9532 PR Primary

Addresses

Primary practice location

611 Calle Dr Pavia Fernandez
Suite 108
San Juan, PR 00909-2239

Mailing address

611 Calle Dr Pavia Fernandez
Suite 108
San Juan, PR 00909-2239
Phone (787) 726-9048

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
I20080721000783 PR Practitioner - Internal MedicinePractitioner - Preventive Medicine 0244303410 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Calle Pavia
Suite 108
San Juan, PR 00909-2241
Phone (787) 726-9090

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sjcmcardo@yourcarecommunity.org

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1619050523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE DR PAVIA FERNANDEZ",
            "address_2": "SUITE 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-9048",
            "fax_number": "787-726-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE DR PAVIA FERNANDEZ",
            "address_2": "SUITE 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-9048",
            "fax_number": "787-726-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.