Healthcare Provider Details

I. General information

NPI: 1992696223
Provider Name (Legal Business Name): CARDIOLOGY NETWORK SOLUTIONS I, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 NW 87TH AVE STE 500
DORAL FL
33178-2433
US

IV. Provider business mailing address

3750 NW 87TH AVE STE 500
DORAL FL
33178-2433
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7484
  • Fax:
Mailing address:
  • Phone: 305-284-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE PELAYO
Title or Position: CEO
Credential:
Phone: 305-284-7484