Diana E. Cardona Jimenez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8147 Issued in PR

Practice address

SD60 Plaza 5 Mansion del Sur
Toa Baja, PR 00949-4848

Phone

(787) 795-2406

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700926730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SD60 PLAZA 5 MANSION DEL SUR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494848",
            "telephone_number": "787-795-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SD60 PLAZA 5 MANSION DEL SUR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494848",
            "telephone_number": "787-795-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA JIMENEZ",
        "first_name": "DIANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana I Camacho, PSY.D.
• Erika Leah Candelaria, MS SPL
• Yaritza Caraballo Olivo
• Cardio Nerve Diagnostic Express, Inc
• Cardio Nerve Diagnostic LLC
• Caribe Pharmacy Management LLC
• Carlos R Moyka Dba CRM Group Practice
• Adriana Elise Caro-Gautier, PHARMD
• Griselle Marie Carrion Montalban, LMSW
• Iris M. Casillas, RPH

• Family Medicine Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.