# JASAES MEDICAL DIAGNOSTIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro Cardiovascular de Toa Alta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780898650
- **Authorized official:** SANDRA MARIA CABALLERO (PRESIDENT)
- **Authorized official phone:** (787) 870-3080

## Contact information

- **Practice address:** CARR 165 KM 10.2, STE 100 LILY MINI MALL, TOA ALTA, PR 00953
- **Practice address phone:** (787) 870-3080
- **Mailing address:** 90 AVE RIO HONDO, PMB STE 275, BAYAMON, PR 00961-3105
- **Mailing address phone:** (787) 870-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 224843 | PR | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020
