1528153855 NPI number — DR. HIRAM CARDONA-MARTINEZ M.D.

Table of content: DR. HIRAM CARDONA-MARTINEZ M.D. (NPI 1528153855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528153855 NPI number — DR. HIRAM CARDONA-MARTINEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARDONA-MARTINEZ
Provider First Name:
HIRAM
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CARDONA
Provider Other First Name:
HIRAM
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1528153855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1376
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RINCON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00677-1376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-834-0665
Provider Business Mailing Address Fax Number:
787-834-0666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 CALLE MEDITACION STE 4A
Provider Second Line Business Practice Location Address:
CENTRO DE SERVICIOS MEDICOS
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680-4848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-0665
Provider Business Practice Location Address Fax Number:
787-834-0666
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  8054 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com