Individual provider Active NPI

Edmundo J Jordan - Morey, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1679537120
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13273 Issued in PR
Practice address
1814 Ave Fernandez Juncos
San Juan, PR 00909-3001
Phone
(787) 728-7083
Fax
(787) 728-3366
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13273 PR Primary

Addresses

Primary practice location

1814 Ave Fernandez Juncos
San Juan, PR 00909-3001

Mailing address

PO Box 11689
Fernandez Juncos Sta
San Juan, PR 00910-2789
Phone (787) 728-7083

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
I20060630000064 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749292142 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1814 Ave Fernandez Juncos
San Juan, PR 00909-3001

1814 Ave FNDZ Juncos
Santurce, PR 00909-0001
Phone (787) 728-7083

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13273PRMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jordan Cardiology Center Cardiovascular Disease 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1679537120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11689",
            "address_2": "FERNANDEZ JUNCOS STA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102789",
            "telephone_number": "787-728-7083",
            "fax_number": "787-728-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009093001",
            "telephone_number": "787-728-7083",
            "fax_number": "787-728-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN - MOREY",
        "first_name": "EDMUNDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.