# AGUADILLA HEART CENTER INC

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

## Provider details

- **NPI number:** 1528165735
- **Authorized official:** MISS LIDIA ROLDAN TIRADO (ASSISTAN ADMINISTRATOR)
- **Authorized official phone:** (787) 819-1925

## Contact information

- **Practice address:** HOSPITAL BUEN SAMARITANO, AVE. SEVERIANO CUEVAS \# 18, AGUADILLA, PR 00603
- **Practice address phone:** (787) 819-1925
- **Practice address fax:** (787) 819-1928
- **Mailing address:** PO BOX 5261, AGUADILLA, PR 00605-5261
- **Mailing address phone:** (787) 819-1925
- **Mailing address fax:** (787) 819-1928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/03/2011