Organization · NPI-2

Centro Cardiovascular De Carolina I

Clinic/Center · Carolina, PR

NPI number1043477995
StatusActive
Last updated in NPPESMay 1, 2009

Details

NPI
1043477995
Entity type
Organization (NPI-2)
Legal business name
Centro Cardiovascular De Carolina I
Organization subpart
No
Enumeration date
May 19, 2008
Last updated
May 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

4a S3 Anexo Piso 2 Fragoso Ave
Carolina, PR 00984

Phone 787-757-0825 · Fax 787-762-2730

Mailing address

Po Box 2250
Rio Grande, PR 00745-2239

Phone 787-757-0620 · Fax 787-762-2730

Authorized official

Roberto R Fred Santana
Owner
7877570825

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