Provider Demographics
NPI:1598405706
Name:CARDONA, JOEL JAVIER (DPM)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:JAVIER
Last Name:CARDONA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14900 SW 30TH ST UNIT 278304
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-7241
Mailing Address - Country:US
Mailing Address - Phone:787-307-0430
Mailing Address - Fax:
Practice Address - Street 1:4364 SW 175TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-1601
Practice Address - Country:US
Practice Address - Phone:787-307-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program