Organization Active NPI

Cardona Medical Center, Incorporated

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1922036730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME45188 Issued in FL
Legal business name
CARDONA MEDICAL CENTER, INCORPORATED
Practice address
1390 NW 7TH St
Miami, FL 33125-3704
Phone
(305) 548-3301
Fax
(305) 548-3032
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Antonio Ignacio Cardona Jr., M.D.
Title
President
Phone
(305) 548-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME45188 FL Primary

Addresses

Primary practice location

1390 NW 7TH St
Miami, FL 33125-3704

Mailing address

1390 NW 7TH St
Miami, FL 33125-3704
Phone (305) 548-3301

Other identifiers 1

IdentifierTypeStateIssuer
96664OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922036730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253704",
            "telephone_number": "305-548-3301",
            "fax_number": "305-548-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253704",
            "telephone_number": "305-548-3301",
            "fax_number": "305-548-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDONA MEDICAL CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-548-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96664",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.