Healthcare Provider Details

I. General information

NPI: 1326677188
Provider Name (Legal Business Name): CARIBBEAN ELECTROPHYSIOLOGY SERVICES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 AVE TITO CASTRO HOSPITAL SAN LUCAS CLINICAS EXTERNAS MULTIDISCIPLINARIAS PISO C LOBBY
PONCE PR
00731
US

IV. Provider business mailing address

PO BOX 800215
COTO LAUREL PR
00780-0215
US

V. Phone/Fax

Practice location:
  • Phone: 939-638-2919
  • Fax:
Mailing address:
  • Phone: 939-638-2919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HELDER OSCAR HERNANDEZ RIVERA
Title or Position: PRESIDENTE
Credential: MD
Phone: 787-518-4086