DR. RAFAEL F CARDONA DURAN M.D.
NPI 1396948840
Neurological Surgery in Guaynabo, PR

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
CARR 199 KM 12 AVE LAS CUMBRES, PROFESSIONAL HOSPITAL, GUAYNABO, PR 00965(787) 243-7080(888) 373-4866 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rafael F Cardona Duran M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFAEL F CARDONA DURAN M.D. (NPI 1396948840) is an individual neurological surgery provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (13634) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2009).

NPPES Registry Identity

NPI1396948840
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RAFAEL F CARDONA DURANCredential: M.D.
Location AddressCARR 199 KM 12 AVE LAS CUMBRES, PROFESSIONAL HOSPITALGuaynabo, PR 00965
Mailing Address96 Calle Tulip Urb. Monte Verde RealSan Juan, PR 00926-5930 · (787) 243-7080 · Fax (787) 243-3106
Fax(888) 373-4866
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2009
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 6, 2018
NPI 1396948840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in PR · 13634
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael F Cardona Duran M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961695739
PECOS Enrollment IDI20101025001198
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00965 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Cardona Duran's NPI number?

The NPI number for Rafael Cardona Duran is 1396948840. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Rafael Cardona Duran located?

Rafael Cardona Duran practices at Carr 199 Km 12 Ave Las Cumbres Professional Hospital, Guaynabo, PR 00965. The listed phone number is (787) 243-7080.

What is Rafael Cardona Duran's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Rafael Cardona Duran enrolled in Medicare?

Yes. Rafael Cardona Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rafael Cardona Duran was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.