# CARDIO NERVE DIAGNOSTIC EXPRESS, INC

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

## Provider details

- **NPI number:** 1326056060
- **Authorized official:** MRS. MIRIAM L MORALES GONZALEZ (OWNER)
- **Authorized official phone:** (787) 261-5093

## Contact information

- **Practice address:** AVENUE DOS PALMAS, 2826 LEVITTOWN, TOA BAJA, PR 00949-0000
- **Practice address phone:** (787) 261-5093
- **Practice address fax:** (787) 784-9264
- **Mailing address:** 90 AVENUE RIO HONDO, PMB 454, BAYAMON, PR 00961-3105
- **Mailing address phone:** (787) 261-5093
- **Mailing address fax:** (787) 784-9264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 0090318 | PR | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 01/10/2012