Healthcare Provider Details

I. General information

NPI: 1073455887
Provider Name (Legal Business Name): STRUCTURAL AND CARDIOVASCULAR INTERVENTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU AVE. LAUREL #100 STA. JUANITA
BAYAMON PR
00956
US

IV. Provider business mailing address

PO BOX 361239
SAN JUAN PR
00936-1239
US

V. Phone/Fax

Practice location:
  • Phone: 787-391-5594
  • Fax:
Mailing address:
  • Phone: 787-391-5594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VICTOR HUGO MOLINA-LOPEZ
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 787-391-5594