=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386543932
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARDONA ENDOCRINOLOGY & METABOLIC MEDICINE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2026
-----------------------------------------------------
Last Update Date | 11/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 611 CALLE PAVIA STE 108
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00909-2241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-726-9090
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 8910
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00910-0910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-726-9090
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ZULMA C CARDONA - MATOS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 872-360-5427
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------