MEDICARE: CARDIO NERVE DIAGNOSTIC EXPRESS, INC

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	261Q00000X	Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center	0090318	PR

General Provider Information

NPI Number	:	1326056060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIO NERVE DIAGNOSTIC EXPRESS, INC

Provider Business Mailing Address
First Line	:	90 AVENUE RIO HONDO
Second Line	:	PMB 454
City	:	BAYAMON
State	:	PR
Zip	:	00961-3105
Country	:	US
Telephone Number	:	787-261-5093
Fax Number	:	787-784-9264

Provider Business Practice Location Address
First Line	:	AVENUE DOS PALMAS
Second Line	:	2826 LEVITTOWN
City	:	TOA BAJA
State	:	PR
Zip	:	00949-0000
Country	:	US
Telephone Number	:	787-261-5093
Fax Number	:	787-784-9264

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MIRIAM L MORALES GONZALEZ
Credential	:
Telephone Number	:	787-261-5093

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	01/10/2012

Similar Medicare Providers

1982652210 — FAST CRUZ AMBULANCE CORP
Practice Location Address:

AVE BOULEVARD G-28 , 4TA SECCION
TOA BAJA, PR
00949-0000

Practice Phone: 787-672-8275
Practice Fax:

1316171168 — DR. JORGE CEDENO ESPAILLAT 17552
Practice Location Address:

610 AVE. COMERIO FINAL , SUP ECONO LEVITTOWN
TOA BAJA, PR
00949-0000

Practice Phone: 787-784-2218
Practice Fax:

1124358817 — HOGAR DONA ANA, INC
Practice Location Address:

LEVITTOWN LAKES , FF5 JOSE DE DIEGO 6TA SECCION
TOA BAJA, PR
00949-0000

Practice Phone: 787-642-2037
Practice Fax:

1962726984 — OFICINA DENTAL LOS DOMINICOS, PSC
Practice Location Address:

AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER , LOCAL 21 B , LEVITTOWN
TOA BAJA, PR
00949-0000

Practice Phone: 787-784-0520
Practice Fax:

1467767079 — CENTRO DE SERVICIOS MEDICOS INC
Practice Location Address:

LIZZIE GRAHAM HF16 SEPTIMA SECCION , LEVITTOWN
TOA BAJA, PR
00949-0000

Practice Phone: 787-795-2935
Practice Fax: 787-784-0680

1588939888 — GLADYS YOMARIS GONZALEZ MSW
Practice Location Address:

CONDOMINIO LAGOS DEL NORTE , APARTAMENTO 806
TOA BAJA, PR
00949-0000

Practice Phone: 787-702-5880
Practice Fax:

Directions to “CARDIO NERVE DIAGNOSTIC EXPRESS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.