MEDICARE: STRUCTURAL AND CARDIOVASCULAR INTERVENTIONS

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	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1073455887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRUCTURAL AND CARDIOVASCULAR INTERVENTIONS

Provider Business Mailing Address
First Line	:	44 S BEDFORD ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-4513
Country	:	US
Telephone Number	:	787-391-5594
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU
Second Line	:	AVE. LAUREL #100 STA. JUANITA
City	:	BAYAMON
State	:	PR
Zip	:	00956
Country	:	US
Telephone Number	:	787-391-5594
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. VICTOR HUGO MOLINA-LOPEZ
Credential	:	MD
Telephone Number	:	787-391-5594

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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