MEDICARE: ECG ENTERPRISES CORP

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1124971486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECG ENTERPRISES CORP

Provider Business Mailing Address
First Line	:	HC 5 BOX 34600
Second Line	:
City	:	HATILLO
State	:	PR
Zip	:	00659-9798
Country	:	US
Telephone Number	:	787-699-4909
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 14 917 AVE TITO CASTRO STE 504
Second Line	:	STE 504
City	:	PONCE
State	:	PR
Zip	:	00716
Country	:	US
Telephone Number	:	787-699-4909
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL ALBERTO COTA-LEY
Credential	:	MD
Telephone Number	:	787-699-4909

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ECG ENTERPRISES CORP ” Practice Location

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