Healthcare Provider Details

I. General information

NPI: 1619967445
Provider Name (Legal Business Name): EKOCARDIODIAGNOTIS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 CALLE ENSENADA PMB SUITE 424
SAN JUAN PR
00920-3504
US

IV. Provider business mailing address

366 CALLE ENSENADA PMB SUITE 424
SAN JUAN PR
00920-3504
US

V. Phone/Fax

Practice location:
  • Phone: 787-798-4330
  • Fax: 787-740-8222
Mailing address:
  • Phone: 787-798-4330
  • Fax: 787-740-8222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. FRANCISCO ARRIETA
Title or Position: CARDIOLOGY
Credential: M.D.
Phone: 787-798-4330