Active NPI
Edwin Cardona
- Medical Technologist
- San Juan, PR
National Provider Identifier
1821243429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 1909
- Practice address
- 758 Ave. Campo Rico
Country Club
San Juan, PR 00924 - Phone
- (787) 750-0510
- Fax
- (787) 257-1110
- NPI assigned
- Nov 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 1909 | PR | Primary |
Addresses
Primary practice location
758 Ave. Campo Rico
Country Club
San Juan, PR 00924
Mailing address
1353 Carr. # 19
MSC # 364
Guaynabo, PR 00966-2701
Phone (787) 748-4102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147 | PR | MD | Optometrist |
| 1909 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1821243429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 CARR. # 19",
"address_2": "MSC # 364",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662701",
"telephone_number": "787-748-4102",
"fax_number": "787-748-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 AVE. CAMPO RICO",
"address_2": "COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-750-0510",
"fax_number": "787-257-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "EDWIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.