# CARDIOWEST CLINICA CARDIOVASCULAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiowest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487377552
- **Authorized official:** KATHERINE SOTO MD (PRESIDENT)
- **Authorized official phone:** (939) 261-0667

## Contact information

- **Practice address:** 2770 AVE HOSTOS STE 309, MAYAGUEZ, PR 00682-6386
- **Practice address phone:** (939) 261-0667
- **Mailing address:** PO BOX 154, MAYAGUEZ, PR 00681-0154
- **Mailing address phone:** (939) 261-0667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022