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NPI Code Detail

MEDICARE: ADVANCED CARDIOLOGY CENTER

MEDICARE: ADVANCED CARDIOLOGY CENTER
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
1282N00000XGeneral Acute Care Hospital6PR

General Provider Information

NPI Number : 1619970415
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CARDIOLOGY CENTER
Provider Business Mailing Address
First Line : PO BOX 1838
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00681-1838
Country : US
Telephone Number : 787-265-3900
Fax Number : 787-265-3952
Provider Business Practice Location Address
First Line : AVE HOSTOS # 410 CARRETERA #2 CENTRO MEDICO
Second Line : BO. SABALOS
City : MAYAGUEZ
State : PR
Zip : 00682-6353
Country : US
Telephone Number : 787-265-3900
Fax Number : 787-265-3952
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JULIO ANDINO-RODRIGUEZ
Credential : MHSA
Telephone Number : 787-265-3900
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/06/2008

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Directions to “ADVANCED CARDIOLOGY CENTER ” Practice Location

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