Provider Demographics
NPI:1528057841
Name:CARDONA DURAN, MARGA (MD)
Entity type:Individual
Prefix:DR
First Name:MARGA
Middle Name:
Last Name:CARDONA DURAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CALLE WASHINGTON
Mailing Address - Street 2:SUITE 501
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1510
Mailing Address - Country:US
Mailing Address - Phone:787-725-5955
Mailing Address - Fax:787-722-7847
Practice Address - Street 1:1451 AVENIDA ASHFORD
Practice Address - Street 2:RADIOLOGY DEPARTMENT FIRST FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1511
Practice Address - Country:US
Practice Address - Phone:787-725-5955
Practice Address - Fax:787-722-7847
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR130172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100163OtherCRUZ AZUL
PR20526OtherTRIPLE S
PR20526Medicare ID - Type Unspecified
PR100163OtherCRUZ AZUL