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NPI Code Detail

MEDICARE: MEDICAL CARDIOVASCULAR SERVICE INC

MEDICARE: MEDICAL CARDIOVASCULAR SERVICE 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
1246ZE0500XEEG Specialist/Technologist
2246ZE0600XElectroneurodiagnostic Specialist/Technologist
3246X00000XCardiovascular Specialist/Technologist

General Provider Information

NPI Number : 1881659548
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL CARDIOVASCULAR SERVICE INC
Provider Business Mailing Address
First Line : PO BOX 14511
Second Line :
City : SAN JUAN
State : PR
Zip : 00916-4511
Country : US
Telephone Number : 787-268-0525
Fax Number : 787-268-0525
Provider Business Practice Location Address
First Line : 2004 AVE BORINQUEN
Second Line :
City : SAN JUAN
State : PR
Zip : 00915-3824
Country : US
Telephone Number : 787-268-0525
Fax Number : 787-268-0525
Authorized Official
Title or Position : OWNER
Name : CARMELO NEIRA LUGO
Credential :
Telephone Number : 787-268-0525
Provider Enumeration Date : 04/18/2006
Last Update Date : 05/12/2009

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Directions to “MEDICAL CARDIOVASCULAR SERVICE INC ” Practice Location

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