Individual provider Active NPI

Wilma E Cedeno, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1871696799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13658 Issued in PR
Practice address
1700 Calle Santa Agueda
Urb. San Gerardo
San Juan, PR 00926-4312
Phone
(787) 754-1059
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
General Practice Physician 208D00000X 13658 PR Primary

Addresses

Primary practice location

1700 Calle Santa Agueda
Urb. San Gerardo
San Juan, PR 00926-4312

Mailing address

PMB 12
P.O. Box 6022
Carolina, PR 00988-6022
Phone (787) 360-4600

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
I20070316000108 PR Practitioner - General Practice 5294838017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

Carr 155 Ave Luis Munoz Marin
Sector El Desvio
Orocovis, PR 00720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Jun 6, 2018 Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 6, 2018 Accepting new patients
Ges de San Juan, Inc. Past Accepting new patients
Orthobone Surgical, Inc. Past Accepting new patients

Locations

16 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 230-7190

Organizations & group practices 5

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871696799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 12",
            "address_2": "P.O. BOX 6022",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009886022",
            "telephone_number": "787-360-4600",
            "fax_number": "787-754-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALLE SANTA AGUEDA",
            "address_2": "URB. SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264312",
            "telephone_number": "787-754-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "WILMA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.