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NPI Code Detail

MEDICARE: CARDIOHEALTH PSC

MEDICARE: CARDIOHEALTH PSC
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
1207R00000XInternal Medicine Physician12543PR
2207RC0000XCardiovascular Disease Physician12543PR

General Provider Information

NPI Number : 1730179797
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOHEALTH PSC
Provider Business Mailing Address
First Line : PMB 427
Second Line : LOLZA ST 2434
City : SAN JUAN
State : PR
Zip : 00913
Country : US
Telephone Number : 787-726-7438
Fax Number : 787-726-2827
Provider Business Practice Location Address
First Line : LAUREL ST
Second Line : 2413
City : SAN JUAN
State : PR
Zip : 00913
Country : US
Telephone Number : 787-726-7438
Fax Number : 787-726-2827
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. AMARANZA MARIE GRILLASCA
Credential :
Telephone Number : 787-726-7438
Provider Enumeration Date : 10/21/2005
Last Update Date : 09/11/2025

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Directions to “CARDIOHEALTH PSC ” Practice Location

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