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General NPI Number Information
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NPI Number | 1316816010
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Entity Type | Organization
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Legal Business Name | CARDIOCARE & VASCULAR GROUP, LLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1492 AVE PONCE DE LEON EDIF CENTRO EUROPA SUITE 502
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City | SAN JUAN
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State | PR
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Zip | 00907-4024
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Country | US
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Telephone | 787-723-5017
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Fax | 787-723-5015
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Provider Business Mailing Address
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Address Line | PO BOX 11577 FERNANDEZ JUNCOS STATION
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City | SAN JUAN
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State | PR
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Zip | 00910-2677
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Country | US
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Telephone | 787-723-5017
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Fax | 787-723-5015
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | JOSE A RODRIGUEZ ESCUDERO
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Credential | MD
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Telephone | 787-723-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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