Healthcare Provider Details

I. General information

NPI: 1427100981
Provider Name (Legal Business Name): CARDIOVASCULAR HI TECH LAB. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 AVE SAN PATRICIO
SAN JUAN PR
00921-1301
US

IV. Provider business mailing address

90 AVE RIO HONDO PMB 254
BAYAMON PR
00961-3105
US

V. Phone/Fax

Practice location:
  • Phone: 787-792-1398
  • Fax: 787-792-1398
Mailing address:
  • Phone: 787-792-1398
  • Fax: 787-792-1398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. GUILLERMO O CRUZ-MERCEDES
Title or Position: PRESIDENT
Credential:
Phone: 787-792-1398