Organization
CARDIOMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNERIO ELIEZER PEREZ RAMIREZ M.D. (SOLE MEMBER)
(787) 536-5976
Entity
Organization
Contact information
Practice address
1492 AVE PONCE DE LEON STE 717, SAN JUAN, PR 00907-4024
(787) 723-5017
(787) 723-5015
Mailing address
PO BOX 11577, FERNANDEZ JUNCOS STATION, SAN JUAN, PR 00910
(787) 723-5017
(787) 723-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18536
PR
207RC0000X
Cardiovascular Disease Physician
Primary
18536
PR
Other
Enumeration date
06/05/2015
Last updated
07/21/2022
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