Grace Cristel Cardona-Roman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19562 Issued in PR

Practice address

303 Ave Domenech
Urb Los Ingenieros
San Juan, PR 00918-0001

Phone

(787) 981-4406

Fax

(787) 274-2567

NPI assigned

Jun 14, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Metro OB GYN PSC

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1366804734

  Single Specialty

  NPD (past)
• Municipality of San Juan PR

  dba Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1154391415
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952740755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AVE MUNOZ RIVERA APT 2604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181653",
            "telephone_number": "787-306-6488",
            "fax_number": "787-274-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 AVE DOMENECH",
            "address_2": "URB LOS INGENIEROS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180001",
            "telephone_number": "787-981-4406",
            "fax_number": "787-274-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AVE DOMENECH 303",
            "address_2": "URB LOS INGENIEROS",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180001",
            "country_code": "US",
            "telephone_number": "787-981-4406",
            "fax_number": "787-274-2567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA-ROMAN",
        "first_name": "GRACE",
        "middle_name": "CRISTEL",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "19562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "19562",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor J Cardona Munoz, M.D.
• Jose M Cardona Ramirez, MD
• Carlos Ruben Cardona Rodriguez, MD
• Zulma Cardona-Matos, MD
• Maria Mercedes Cardona-Rodriguez, MD
• Aida S Cardona
• Armando Cardona
• Brenda M Cardona, O.T.
• Damaris Cardona, RPH
• Edwin Cardona

• Obstetrics & Gynecology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.