Cardona Campos, Ivan Rene

Cardona Campos, Ivan Rene is an individual health care provider with primary practice located at 1409 Feria Street , Santurce PR 00909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cardona Campos, Ivan Rene can be contacted via phone (787) 723-4403.

Contact Information

Primary practice address
1409 Feria Street Santurce PR 00909
Fax: (787) 723-4403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 3032 Puerto Rico

Profile Details

NPI number 1952473480
LBN Legal business name Cardona Campos, Ivan Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952473480 NPPES
Puerto Rico Other 2453 PMC
Puerto Rico Other 600024 PMC
Puerto Rico Other H264 PMC

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