Provider Demographics
NPI:1093740912
Name:CARDONA RAMIREZ, JOSE M (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:M
Last Name:CARDONA RAMIREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 194606
Mailing Address - Street 2:HATO REY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4606
Mailing Address - Country:US
Mailing Address - Phone:787-903-1058
Mailing Address - Fax:787-274-2237
Practice Address - Street 1:JUAN J. JIMENEZ 516
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-903-1058
Practice Address - Fax:787-274-2237
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR8392207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
29037Medicare ID - Type Unspecified
C79805Medicare UPIN