Healthcare Provider Details

I. General information

NPI: 1881521995
Provider Name (Legal Business Name): CARDIOCARIBE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE MEDICA SAN CRISTOBAL SUITE 407-B CARR 506 KM 1.0
PONCE PR
00780-2681
US

IV. Provider business mailing address

TORRE MEDICA SAN CRISTOBAL SUITE 407-B CARR 506 KM 1.0
PONCE PR
00780-2681
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-0002
  • Fax:
Mailing address:
  • Phone: 787-843-0002
  • 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: JOSE A ROMAN RAMOS
Title or Position: PRESIDENT & MD
Credential: MD
Phone: 787-598-1949