Healthcare Provider Details

I. General information

NPI: 1871914838
Provider Name (Legal Business Name): INSTITUTO CARDIOVASCULAR ALEX BRANMAR, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 04/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CARR 2 STE 206 TORRE MEDICA 1 DR. PEDRO BLANCO LUGO
MANATI PR
00674-4661
US

IV. Provider business mailing address

PO BOX 468
MANATI PR
00674-0468
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-0899
  • Fax: 787-884-0127
Mailing address:
  • Phone: 787-884-0899
  • Fax: 787-884-0127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. VICTOR ISRAEL SANCHEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-884-0899