NPIMap

Organization Active NPI

Dr. Dodanid Cardona Medina CSP

  • Specialist
  • Caguas, PR
National Provider Identifier
1760885180
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15339 Issued in PR
Legal business name
DR. DODANID CARDONA MEDINA CSP
Practice address
Centro Ambulatorio Himma San Pablo Caguas Piso G
Ave Luis Munoz Rivera a-1
Caguas, PR 00725
Phone
(787) 668-7236
NPI assigned
Sep 30, 2014
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Dr. Dodanid CardonaNPI 1366447963
Title
President
Phone
(787) 550-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 15339 PR Primary

Addresses

Primary practice location

Centro Ambulatorio Himma San Pablo Caguas Piso G
Ave Luis Munoz Rivera a-1
Caguas, PR 00725

Mailing address

76 Via del Sol
Caguas, PR 00727-3105
Phone (787) 550-7555

Other practice location 1

701 Via Del Sol
Hacienda San Jose
Caguas, PR 00727-3105
Phone (787) 550-7555

National Provider Directory

National Provider Directory

Locations

X1A Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 668-7236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1760885180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 VIA DEL SOL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273105",
            "telephone_number": "787-550-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO AMBULATORIO HIMMA SAN PABLO CAGUAS PISO G",
            "address_2": "AVE LUIS MUNOZ RIVERA A-1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-668-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Via Del Sol",
            "address_2": "HACIENDA SAN JOSE",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007273105",
            "country_code": "US",
            "telephone_number": "787-550-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. DODANID CARDONA MEDINA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "DODANID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-550-7555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "15339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.