Organization
CARDIO NERVE DIAGNOSTIC EXPRESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM L MORALES GONZALEZ (OWNER)
(787) 261-5093
Entity
Organization
Contact information
Practice address
AVENUE DOS PALMAS, 2826 LEVITTOWN, TOA BAJA, PR 00949-0000
(787) 261-5093
(787) 784-9264
Mailing address
90 AVENUE RIO HONDO, PMB 454, BAYAMON, PR 00961-3105
(787) 261-5093
(787) 784-9264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
0090318
PR
Other
Enumeration date
08/04/2006
Last updated
01/10/2012
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