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Organization

AGUADILLA HEART CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LIDIA ROLDAN TIRADO (ASSISTAN ADMINISTRATOR)
(787) 819-1925
Entity
Organization

Contact information

Practice address
HOSPITAL BUEN SAMARITANO, AVE. SEVERIANO CUEVAS # 18, AGUADILLA, PR 00603
(787) 819-1925
(787) 819-1928
Mailing address
PO BOX 5261, AGUADILLA, PR 00605-5261
(787) 819-1925
(787) 819-1928

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
09/20/2006
Last updated
11/03/2011
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