Healthcare Provider Details

I. General information

NPI: 1720301476
Provider Name (Legal Business Name): ATLANTIC CARDIO INSTITUTE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CABAN
CAMUY PR
00627-2318
US

IV. Provider business mailing address

10 CALLE CABAN
CAMUY PR
00627-2318
US

V. Phone/Fax

Practice location:
  • Phone: 787-356-7164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAMFIS VELEZ
Title or Position: PRESIDENT
Credential: MHSA
Phone: 787-356-7164