MR. IVAN RENE CARDONA CAMPOS (NPI# 1952473480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952473480 |
| Entity Type | Individual |
| Full Name | MR. IVAN RENE CARDONA CAMPOS |
| Other Name | RENE CARDONA CAMPOS |
| Credential | MD |
| Practice Address |
1409 Feria Street Santurce PR 00909 |
| Mailing Address |
Po Box 19780 San Juan PR 00910-9780 |
| Practice Telephone | 7877234403 |
| Practice Fax Number | 7877234403 |
| Mailing Telephone | 7877235553 |
| Mailing Fax Number | 7877234403 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 3032 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | PMC | 2453 | 01 |
| PR | MMM | 600024 | 01 |
| PR | FIRST MEDICAL | H264 | 01 |
| Street Address |
1409 FERIA STREET |
| City | SANTURCE |
| State | PR |
| Zip Code | 00909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952615551 | Samuel Estronza-ojeda | Neurological Surgery | 252 Calle San Jorge Ste 205, Santurce, PR 00912 | 2010-08-06 |
| 1801861810 | Juan A. Vigo Prieto | Neurological Surgery | San Jorge Childrens Hospital, Ofic 404, Calle San Jorge, Santurce, PR 00912 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316444235 | Cranial Base Neurosurgery Pr | Neurological Surgery | Ba 9 Plaza 2, Urb.bosque Del Lago, Trujillo Alto, PR 00976 | 2018-04-08 |
| 1972051365 | Mmt Neurosurgery Psc | Neurological Surgery | Hima Hospital, Torre Hima Suite 706, Caguas, PR 00725 | 2016-09-14 |
| 1477956225 | Puerto Rico Neurosurgery & Spine L.L.C. | Neurological Surgery | 668 Calle Hernandez Carrion Urb Atenas Manati, Medical Center Suite 201, Manati, PR 00674 | 2014-10-07 |
| 1790104610 | Christian Ivan Rios-vicil | Neurological Surgery | 2116 Monacillo St., University District Hospital Puerto Rico Medical Center, San Juan, PR 00922-2116 | 2014-04-08 |
| 1982032561 | Cosme Miguel Gonzalez Villaman | Neurological Surgery | Calle 53 Se 870, Reparto Metropolitano, Rio Piedras, San Juan, PR 00921 | 2013-10-17 |
| 1295174217 | Joel Enrique Pellot | Neurological Surgery | University District Hospital Bo Monacillos, San Juan, PR 00935-0001 | 2013-06-24 |
| 1073863833 | Jorge Mendoza Torres | Neurological Surgery | 870 Calle 53 Se, Reparto Metropolitano, San Juan, PR 00921 | 2012-09-19 |
| 1144533746 | Puerto Rico Neurological Spine Surgery | Neurological Surgery | 1845 Carr 2 Ste 702, Bayamon Medical Building, Bayamon, PR 00959-7206 | 2010-07-23 |
| 1417284290 | Amaury Jerman Garcia | Neurological Surgery | 365 Calle 28, Urb. Villa Nevarez, San Juan, PR 00927-5107 | 2009-11-16 |
| 1992988950 | Ramon Antonio De Leon-berras | Neurological Surgery | 382 Ave. San Claudio, Pmb 73, San Juan, PR 00926-9910 | 2007-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.