# ARD CARDIOLOGY PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497045256
- **Authorized official:** DR. ALEXIS DAVID RIVERA M.D. (PHYSICIAN)
- **Authorized official phone:** (787) 209-6066

## Contact information

- **Practice address:** AVE GENERAL VALERO \# 410, TORRE MEDICA 202, FAJARDO, PR 00738-3949
- **Practice address phone:** (787) 860-0005
- **Practice address fax:** (787) 860-0676
- **Mailing address:** AVE GENERAL VALERO \# 410, TORRE MEDICA 202, FAJARDO, PR 00738-3949
- **Mailing address phone:** (787) 860-0005
- **Mailing address fax:** (787) 860-0676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 15769 | PR | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/13/2011