Organization · NPI-2

Cardiovascular Medical Diagnostic Services

Physiological Laboratory · San Juan, PR

NPI number1801007794
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1801007794
Entity type
Organization (NPI-2)
Legal business name
Cardiovascular Medical Diagnostic Services
Organization subpart
No
Enumeration date
May 24, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory3878PRYes

Practice location

Urb. Berwind Estates
Calle 17 T-9
San Juan, PR 00924

Phone 787-752-4818 · Fax 787-752-4818

Mailing address

Urb. Berwind Estates
Calle 17 T-9
San Juan, PR 00924

Phone 787-752-4818 · Fax 787-752-4818

Authorized official

Carmen Judith Pagan
Presidenta
7879601275

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