Dennis Omar Cardona Cardona

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22929 Issued in PR

Practice address

Carr 2 KM 141.1 Avenida Severiano Cuevas
18 Caimital Bajo
Aguadilla, PR 00603-0880

Phone

(939) 253-8039

NPI assigned

Feb 3, 2021

Reactivated

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

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 San Carlos Incorporado

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Medicare reassignment NPD
• Servicios Hospitalistas San Carlos Borromeo

  • Hospitalist Physician
  • Moca, PR
  • NPI 1891467429
  NPD
• Servicios de Anestesia Hospital San Carlos Borromeo

  • Anesthesiology Physician
  • Moca, PR
  • NPI 1780286542
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1831780642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 12467",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006768264",
            "telephone_number": "939-253-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 141.1 AVENIDA SEVERIANO CUEVAS",
            "address_2": "18 CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030880",
            "telephone_number": "939-253-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA CARDONA",
        "first_name": "DENNIS",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "deactivation_date": "2022-08-14",
        "reactivation_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15710-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santos L. Caraballo Rosario, M.D
• Carlos E. Carbonell
• Francisco Edgardo Carcamo Paz, MD
• Cardio Services, Inc
• Cardiologos Unidos del Noroeste, CSP
• Omar David Cardona-Garcia, MD
• Carlos R Cardona, M.D.
• Nesjuan Faelio Cardona
• Osvaldo L Cardona, M.D.
• Caribbean Ophthalmology PSC

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.