# CARDIONOVA P.S.C.

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

## Provider details

- **NPI number:** 1891045704
- **Authorized official:** DR. ULISES RODRIGUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 812-0700

## Contact information

- **Practice address:** 2225 PONCE BYP \# 2225, SUITE 908, PONCE, PR 00717-1321
- **Practice address phone:** (787) 812-0700
- **Practice address fax:** (787) 812-0707
- **Mailing address:** PO BOX 1406, JUANA DIAZ, PR 00795-1406
- **Mailing address phone:** (787) 812-0700
- **Mailing address fax:** (787) 812-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012