Organization
CARIBBEAN CARDIAC & THORACIC SURGERY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENIO MULERO PORTELA M.D. (PRESIDENT)
(787) 432-3355
Entity
Organization
Contact information
Practice address
MAYAGUEZ MEDICAL CTR, MAYAGUEZ, PR 00682-1560
(787) 652-9200
Mailing address
PO BOX 10249, PONCE, PR 00732-0249
(787) 432-3355
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10847
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669464517
—
PR
Enumeration date
12/18/2017
Last updated
04/29/2025
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