Ivan Rene Cardona Campos, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

3032 Issued in PR

Practice address

1409 Feria Street
Santurce, PR 00909

Phone

(787) 723-4403

Fax

(787) 723-4403

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Rene Cardona Campos Professional name

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puerto Rico Neurological Spine Surgery

  • Neurological Surgery Physician
  • Bayamon, PR
  • NPI 1144533746
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952473480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19780",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009109780",
            "telephone_number": "787-723-5553",
            "fax_number": "787-723-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 FERIA STREET",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-723-4403",
            "fax_number": "787-723-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA CAMPOS",
        "first_name": "IVAN",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "600024",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "H264",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "2453",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "CARDONA CAMPOS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Carmen Calderon, MA
• Caleb Neira Rivera (Farmacia Archilla)
• Francisco Jose Capo Dominguez, MD, FACS
• Cardio Neuro Medical Services
• Cardiology Medical Services
• Carlos A Cardona Roldan, M.D.
• Care Compass
• Caribbean Pediatric Orthopaedics LLC
• Caribe Specialty Pharmacy
• Simon E. Carlo, MD

• Neurological Surgery Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Neurological Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.