Organization
MODERN CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LEAVITT-CARABALLO M.D. (PRESIDENT)
(787) 505-3750
Entity
Organization
Contact information
Practice address
208 AVE PONCE DE LEON # 431, NATIONAL PLAZA BUILDING SUITE 326, SAN JUAN, PR 00918-1000
(787) 413-7998
Mailing address
675 CALLE S CUEVAS BUSTAMANTE, BOX 29, SAN JUAN, PR 00918-4090
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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