MEDICARE: CARDIO HEALTH CSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	12543	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	411	OTHER	PR	AMERICAN HEALTH MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4057	OTHER	PR	FIRST PLUS
2	P528	OTHER	PR	FIRST MEDICAL
3	600080	OTHER	PR	MMM
4	1082	OTHER	PR	PREFERRED MEDICAL CHOICE
6	32475	OTHER	PR	ASOCIACION DE MAESTROS
7	85014	OTHER	PR	TRIPLE S
8	9130005	OTHER	PR	HUMANA

General Provider Information

NPI Number	:	1023008463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIO HEALTH CSP

Provider Business Mailing Address
First Line	:	PO BOX 79490
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00984-9490
Country	:	US
Telephone Number	:	787-726-7438
Fax Number	:	787-726-2827

Provider Business Practice Location Address
First Line	:	3018 AVE ISLA VERDE
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-726-7438
Fax Number	:	787-726-2827

Authorized Official
Title or Position	:	ACCESS MANAGER
Name	:	ALFREDO VILA
Credential	:
Telephone Number	:	787-726-7438

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	05/01/2024

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Directions to “CARDIO HEALTH CSP ” Practice Location

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