Healthcare Provider Details

I. General information

NPI: 1356264998
Provider Name (Legal Business Name): INTEGRATED CARDIO CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 CARR 2 STE 804
BAYAMON PR
00959-7206
US

IV. Provider business mailing address

1845 CARR 2 STE 804
BAYAMON PR
00959-7206
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-4040
  • Fax: 787-785-4050
Mailing address:
  • Phone: 787-785-4040
  • Fax: 787-785-4050

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: LUIS A MOLINARY JIMENEZ
Title or Position: PRESIDENTE
Credential: MD
Phone: 787-929-2525