Individual provider Active NPI

Sigifredo Cardona

  • Obstetrics Physician
  • Arecibo, PR
National Provider Identifier
1790895647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
5294 Issued in PR
Practice address
101 Calle Fco Gonzalo Marin
Arecibo, PR 00612-4754
Phone
(787) 817-3996
Fax
(787) 816-9310
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 5294 PR Primary

Addresses

Primary practice location

101 Calle Fco Gonzalo Marin
Arecibo, PR 00612-4754

Mailing address

Box MSC 442
PO Box 4035
Arecibo, PR 00614
Phone (787) 817-3996

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
I20140626002123 PR Practitioner - Obstetrics/Gynecology 3072738475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camuy Health Services, Inc.Group PAC ID 3072559301, 19 clinicians

Practice addresses (Care Compare)

63 Ave Munoz Rivera E
Camuy, PR 00627-2630
Phone 7878982660246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5294PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Camuy Health Services, Inc. CurrentSince May 24, 2014 Accepting new patients
Camuy Health Services, Inc. CurrentSince May 24, 2014 Accepting new patients
Knco OB GYN Services Past Accepting new patients

Locations

63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790895647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX MSC 442",
            "address_2": "PO BOX 4035",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-817-3996",
            "fax_number": "787-816-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CALLE FCO GONZALO MARIN",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124754",
            "telephone_number": "787-817-3996",
            "fax_number": "787-816-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "SIGIFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "5294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.