# INSTITUTO CARDIOVASCULAR DE BAYAMON LLC

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

## Provider details

- **NPI number:** 1962928366
- **Authorized official:** MR. JUAN ANTONIO RODRIGUEZ MD (M.D.)
- **Authorized official phone:** (787) 785-4851

## Contact information

- **Practice address:** 48 CALLE 1 EXT HERMANAS DAVILA, BAYAMON, PR 00959
- **Practice address phone:** (787) 785-4851
- **Practice address fax:** (787) 740-3929
- **Mailing address:** P.O. BOX 2990, BAYAMON, PR 00960
- **Mailing address phone:** (787) 785-4851
- **Mailing address fax:** (787) 740-3929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | PR | Yes |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | PR | — |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 08/17/2017
