MEDICARE: ERICK CARDONA HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	001079	PR

General Provider Information

NPI Number	:	1821958604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICK CARDONA HERNANDEZ

Provider Business Mailing Address
First Line	:	177 CARR 844
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4434
Country	:	US
Telephone Number	:	787-415-8010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 CARR 844
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4434
Country	:	US
Telephone Number	:	787-415-8010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	02/25/2026

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Directions to “ ERICK CARDONA HERNANDEZ ” Practice Location

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