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NPI Code Detail

MEDICARE: CENTRO CARDIOVASCULAR DE CAROLINA

MEDICARE: CENTRO CARDIOVASCULAR DE CAROLINA
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1023032661
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO CARDIOVASCULAR DE CAROLINA
Provider Business Mailing Address
First Line : PO BOX 195237
Second Line :
City : SAN JUAN
State : PR
Zip : 00919-5237
Country : US
Telephone Number : 787-757-0825
Fax Number : 787-762-2730
Provider Business Practice Location Address
First Line : 4AS3 VIA LETICIA
Second Line : VILLA FONTANA
City : CAROLINA
State : PR
Zip : 00983-4801
Country : US
Telephone Number : 787-757-0825
Fax Number : 787-762-2730
Authorized Official
Title or Position : CO-OWNER
Name : DR. ROBERTO PEREZ-GUTIERREZ
Credential : M.D.
Telephone Number : 787-757-0825
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/14/2007

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Directions to “CENTRO CARDIOVASCULAR DE CAROLINA ” Practice Location

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