Individual provider Active NPI

Pablo Efren Cardona Doble

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1679522411
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
8705 Issued in PR
Practice address
1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026
Phone
(787) 977-1770
Fax
(787) 977-1774
NPI assigned
May 9, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 8705 PR Primary

Addresses

Primary practice location

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026

Mailing address

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4026
Phone (787) 977-1770

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
I20050114000592 PR Practitioner - Urology 2567411721 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 Ave Ponce de Leon
Suite 601
San Juan, PR 00907-4039
Phone (787) 977-1770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8705PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Endourological Institute Inc CurrentSince Mar 17, 1988 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pablo.cardonadoble@4281.securemail.prognocis.com
  • Direct secure messaging: pcardonadoble@1438.securemail.prognocis.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1679522411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON",
            "address_2": "SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074026",
            "telephone_number": "787-977-1770",
            "fax_number": "787-977-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON",
            "address_2": "SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074026",
            "telephone_number": "787-977-1770",
            "fax_number": "787-977-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA DOBLE",
        "first_name": "PABLO",
        "middle_name": "EFREN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.