Healthcare Provider Details

I. General information

NPI: 1275618100
Provider Name (Legal Business Name): TRANSCATHETER MEDICAL CSP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE AMERICO MIRANDA REPARTO METROPOLITANO
RIO PIEDRAS PR
00924
US

IV. Provider business mailing address

PO BOX 5307
CAGUAS PR
00726-5307
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEDRO COLON
Title or Position: PRESIDENT
Credential:
Phone: 787-720-1088