Healthcare Provider Details

I. General information

NPI: 1124333059
Provider Name (Legal Business Name): HECTOR RAFAEL CLAUDIO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AMERICO MIRANDA ST CENTRO MEDICO CORNER CENTRO CARDIOVASCULAR DE PR Y DEL CARIBE ST 10
SAN JUAN PR
00936-3047
US

IV. Provider business mailing address

AVENIDA AMERICO MIRANDA CENTRO MEDICO
SAN JUAN PR
00936
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-8500
  • Fax:
Mailing address:
  • Phone: 787-405-0759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48977
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number48977
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number48977
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number20959
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: