Healthcare Provider Details

I. General information

NPI: 1518932003
Provider Name (Legal Business Name): CARDIOVASCULAR CONSULTANTS OF IN. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7217 INDIANAPOLIS BLVD
HAMMOND IN
46324-2213
US

IV. Provider business mailing address

7217 INDIANAPOLIS BLVD
HAMMOND IN
46324-2213
US

V. Phone/Fax

Practice location:
  • Phone: 219-554-4080
  • Fax: 219-554-4085
Mailing address:
  • Phone: 219-554-4080
  • Fax: 219-554-4085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71000524A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number28133002A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number01038128A
License Number StateIN

VIII. Authorized Official

Name: DR. RAMON P. LLOBET
Title or Position: PRESIDENT
Credential: M.D.
Phone: 219-554-4080