Healthcare Provider Details

I. General information

NPI: 1871402735
Provider Name (Legal Business Name): NEW PATH CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 AVE 65 DE INFANTERIA SUITE 110
CAROLINA PR
00985-5638
US

IV. Provider business mailing address

PO BOX 8738
CAROLINA PR
00988-8738
US

V. Phone/Fax

Practice location:
  • Phone: 787-531-3469
  • Fax:
Mailing address:
  • Phone: 787-531-3469
  • Fax:

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: ARIEL F GONZALEZ CORDERO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-531-3469