Individual provider Active NPI

Ruddy Antonio Guerra Cardona, M.D.

  • Neurology Physician
  • Manati, PR
National Provider Identifier
1760493381
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
11308 Issued in PR
Practice address
Edif Medico Dr. Pedro Blanco Lugo
Suite 311
Manati, PR 00674
Phone
(787) 884-5107
Fax
(787) 884-0819
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11308 PR Primary

Addresses

Primary practice location

Edif Medico Dr. Pedro Blanco Lugo
Suite 311
Manati, PR 00674

Mailing address

PO Box 1107
Manati, PR 00674-1107
Phone (787) 884-5107

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
I20050624000947 PR Practitioner - Neurology 7618912031 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Center Hospital IncGroup PAC ID 7810088796, 20 clinicians

Practice addresses (Care Compare)

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone (787) 854-3322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11308PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Inc CurrentSince Aug 21, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruddy.guerracardona@chartlogic.direct-ci.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 and National Provider Directory roles.

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1760493381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741107",
            "telephone_number": "787-884-5107",
            "fax_number": "787-884-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MEDICO DR. PEDRO BLANCO LUGO",
            "address_2": "SUITE 311",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-5107",
            "fax_number": "787-884-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA CARDONA",
        "first_name": "RUDDY",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "11308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.