Dr Rafael F Cardona Duran, MD - Medicare Neurosurgery in Guaynabo, PR

Dr Rafael F Cardona Duran, MD is a medicare enrolled "Neurological Surgery" physician in Guaynabo, Puerto Rico. He went to University Of Puerto Rico School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Neurosurgery. His current practice location is Carr 199 Km 12 Ave Las Cumbres, Professional Hospital, Guaynabo, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 243-7080.

Dr Rafael F Cardona Duran is licensed to practice in Puerto Rico (license number 13634) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396948840.

Contact Information

Dr Rafael F Cardona Duran, MD
Carr 199 Km 12 Ave Las Cumbres, Professional Hospital,
Guaynabo, PR 00965
(787) 243-7080
(888) 373-4866

Map and Direction




Physician's Profile

Full NameDr Rafael F Cardona Duran
GenderMale
SpecialityNeurosurgery
Experience15 Years
LocationCarr 199 Km 12 Ave Las Cumbres, Guaynabo, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rafael F Cardona Duran attended and graduated from University Of Puerto Rico School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1396948840
  • Provider Enumeration Date: 06/11/2007
  • Last Update Date: 09/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961695739
  • Enrollment ID: I20101025001198

Medical Identifiers

Medical identifiers for Dr Rafael F Cardona Duran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396948840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 13634 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael F Cardona Duran allows following entities to bill medicare on his behalf.
Entity NamePuerto Rico Neurological Spine Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144533746
PECOS PAC ID: 3375736143
Enrollment ID: O20101025001124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael F Cardona Duran is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rafael F Cardona Duran, MD
96 Calle Tulip Urb. Monte Verde Real,
San Juan, PR 00926-5930

Ph: (787) 243-7080
Dr Rafael F Cardona Duran, MD
Carr 199 Km 12 Ave Las Cumbres, Professional Hospital,
Guaynabo, PR 00965

Ph: (787) 243-7080

Reviews and Comments


Neurological Surgery Doctors in Guaynabo, PR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.