Healthcare Provider Details

I. General information

NPI: 1023163672
Provider Name (Legal Business Name): ADVANCE CARDIOVASCULAR STUDIES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

Z978 CALLE BAHUINIA LOCAL C LOIZA VALLEY
CANOVANAS PR
00729-0000
US

IV. Provider business mailing address

PO BOX 20 000 PMB 23
CANOVANAS PR
00729-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-221-8161
  • Fax: 787-752-4128
Mailing address:
  • Phone: 787-221-8161
  • Fax: 787-752-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number0057467
License Number StatePR

VIII. Authorized Official

Name: MR. MAIKEL GARCIA FERNANDEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-221-8161