# CENTRO CARDIONUCLEAR DE GUAYAMA, CSP

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

## Provider details

- **NPI number:** 1235310533
- **Authorized official:** JOSE ACEVEDO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 864-3370

## Contact information

- **Practice address:** CALLE 4 BLOQUE B 222, URB VIVES, GUAYAMA, PR 00785
- **Practice address phone:** (787) 864-3370
- **Mailing address:** PO BOX 10007, SUITE 425, GUAYAMA, PR 00785
- **Mailing address phone:** (787) 864-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0901X | Nuclear Cardiology Physician | — | NULL | Yes |
| 207UN0901X | Nuclear Cardiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 04/02/2009