# CENTRO CARDIOVASCULAR DE CAROLINA I

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043477995
- **Authorized official:** DR. ROBERTO R FRED SANTANA MD (OWNER)
- **Authorized official phone:** (787) 757-0825

## Contact information

- **Practice address:** 4A S3 ANEXO PISO 2 FRAGOSO AVE, CAROLINA, PR 00984
- **Practice address phone:** (787) 757-0825
- **Practice address fax:** (787) 762-2730
- **Mailing address:** PO BOX 2250, RIO GRANDE, PR 00745-2239
- **Mailing address phone:** (787) 757-0620
- **Mailing address fax:** (787) 762-2730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/01/2009
