# CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
- **Other names:** GRUPO MEDICO CARDIOVASCULAR CCCPRC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801485727
- **Legal business name:** CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
- **Authorized official:** WANDA RIVERA-PADRO RDN,CJCP (INSTITUTIONAL PROGRAMS DIRECTOR)
- **Authorized official phone:** (787) 754-8500

## Contact information

- **Practice address:** AMERICO MIRANDA AVE MEDICAL CENTER CORNER RIO PIEDRAS, SAN JUAN, PR 00935-0001
- **Practice address phone:** (787) 754-8500
- **Mailing address:** PO BOX 366528, SAN JUAN, PR 00936-6528
- **Mailing address phone:** (787) 754-8500

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 02/15/2021