Organization
CARDIOVASCULAR DIAGNOSTIC CENTER
Active
Organization
CARDIOVASCULAR DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA Y GONZALEZ M.D. (OWNER)
(318) 338-3540
Entity
Organization
Contact information
Practice address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
(318) 338-3540
(318) 335-3542
Mailing address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
(318) 338-3540
(318) 335-3542
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11314R
LA
207RI0011X
Interventional Cardiology Physician
11314R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1667781
—
LA
Enumeration date
02/05/2007
Last updated
12/30/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up