Tirso T Pena Cardenas

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11480 Issued in PR

Practice address

2431 Ave Las Americas
Ste 212 Edificio Porrata Pila
Ponce, PR 00717-2113

Phone

(787) 848-8001

Fax

(787) 848-8001

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1992801583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "STE 212 EDIFICIO PORRATA PILA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-8001",
            "fax_number": "787-848-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "STE 212 EDIFICIO PORRATA PILA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-8001",
            "fax_number": "787-848-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA CARDENAS",
        "first_name": "TIRSO",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro D Santiago Gutierrez
• Iris M. Pedrogo, M.S.
• Manuel Alberto Pellicier Mercucci, M.D.
• Fabianna Pellicier Rodriguez
• Karolina Isabel Pellot
• Nelissa Pena Perez
• Renata Peralta
• Jeriel J Perea Sanchez
• Jonathan Pereira
• Miguel A Pereira, MD

• Internal Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.