Healthcare Provider Details

I. General information

NPI: 1285705277
Provider Name (Legal Business Name): CAGUAS CARDIO IMAGING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR # 52 BO CANABON OFIC 208 200 AVE RAFAEL CORDERO PMB 482
CAGUAS PR
00725-3757
US

IV. Provider business mailing address

200 AVE RAFAEL CORDERO PMB 482 SUITE 140
CAGUAS PR
00725-3740
US

V. Phone/Fax

Practice location:
  • Phone: 787-747-6045
  • Fax:
Mailing address:
  • Phone: 787-258-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. JESUS M SANTOS
Title or Position: CARDILOGO
Credential: MD
Phone: 787-747-6045