# SOUTHWEST CARDIOVASCULAR CARE GROUP, INC

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

## Provider details

- **NPI number:** 1902218704
- **Authorized official:** DR. DAVID BERMUDEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 892-4965

## Contact information

- **Practice address:** 8 CALLE JAVILLA, PLAZA METROPOLITANA SUITE 104, SAN GERMAN, PR 00683-4102
- **Practice address phone:** (787) 892-4965
- **Practice address fax:** (787) 264-2340
- **Mailing address:** PO BOX 406, SAN GERMAN, PR 00683-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 13077 | PR | — |
| 261Q00000X | Clinic/Center | 13096 | PR | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 05/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215970405 | NPI | — |
| 01 | — | 1407831514 | NPI | PR |