Healthcare Provider Details

I. General information

NPI: 1962118190
Provider Name (Legal Business Name): HEART FAILURE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 05/30/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE JOSE CELSO BARBOSA BO MONACILLO CENTRO CARDIOVASCULAR DE PR Y CARIBE 1ER PISO SUITE 3
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

COND PINE GROVE B6 AVE ISLA VERDE APT 46A
CAROLINA PR
00979-7128
US

V. Phone/Fax

Practice location:
  • Phone: 787-679-8800
  • Fax: 787-767-8800
Mailing address:
  • Phone: 787-409-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GISELA DENISE PUIG CARRION
Title or Position: MD, OWNER
Credential: MD
Phone: 787-409-7788