Organization
CENTRO CARDIOVASCULAR DE SAN GERMAN,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIBAL J LUGO SR. MD (MD PRESIDENT)
(787) 264-3100
Entity
Organization
Contact information
Practice address
EDIFICIO PLAZA METROPOLITANA, SUITE 204, SAN GERMAN, PR 00683
(787) 264-3000
(787) 892-5994
Mailing address
PO BOX 88, SAN GERMAN, PR 00683-0088
(787) 264-3000
(787) 892-5994
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10754
PR
207RC0000X
Cardiovascular Disease Physician
Primary
8633
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601721
ACAA
—
01
—
060510
CRUZ AZUL
—
01
—
1603A
PREFERRED MEDICARE CHOICE
—
01
—
310754
CIGNA
—
01
—
SE3332
PALIC
—
Enumeration date
04/13/2006
Last updated
09/10/2012
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