MEDICARE: CENTRO DE CARDIOLOGIA DE CAYEY LLC

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1790338838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DE CARDIOLOGIA DE CAYEY LLC

Provider Business Mailing Address
First Line	:	PO BOX 372346
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00737-2346
Country	:	US
Telephone Number	:	787-738-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 AVE BALDORIOTY
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00736-3761
Country	:	US
Telephone Number	:	787-738-6444
Fax Number	:	787-738-2445

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISAMUEL J. SANTOS ROALES
Credential	:	MD
Telephone Number	:	787-738-6444

Provider Enumeration Date	:	07/18/2019
Last Update Date	:	05/30/2024

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