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NPI Code Detail

MEDICARE: CARDIOVASCULAR SURGERY OF PR

MEDICARE: CARDIOVASCULAR SURGERY OF PR
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
12086S0129XVascular Surgery Physician
2363AS0400XSurgical Physician Assistant
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number : 1144253360
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR SURGERY OF PR
Provider Business Mailing Address
First Line : PO BOX 6684
Second Line : MARINA STATION
City : MAYAGUEZ
State : PR
Zip : 00681-6684
Country : US
Telephone Number : 787-883-5557
Fax Number : 787-265-3711
Provider Business Practice Location Address
First Line : AVE HOSTOS # 470
Second Line : PRIMER PISO
City : MAYAGUEZ
State : PR
Zip : 00682-6353
Country : US
Telephone Number : 787-833-5557
Fax Number : 787-265-3711
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAUL FELIX GARCIA RINALDI
Credential : MD
Telephone Number : 787-265-3711
Provider Enumeration Date : 07/09/2006
Last Update Date : 04/28/2010

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Directions to “CARDIOVASCULAR SURGERY OF PR ” Practice Location

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