Individual
DR. VICTOR J CARDONA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 MANUEL PAVIA FERNANDEZ ST., PAVIA MEDICAL PLAZA, SUITE 206, SAN JUAN, PR 00909
(787) 728-6212
(787) 728-8587
Mailing address
47A CALLE ALMENDRO, PUNTA LAS MARIAS, SAN JUAN, PR 00913-4630
(787) 728-6212
(787) 728-8587
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11727
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080134
PROVIDER NO. CRUZ AZUL
PR
01
—
8000653
HUMANA INSURANCE
PR
Enumeration date
01/17/2007
Last updated
06/29/2011
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