Organization
CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
Active
Parent organization
CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
Other names
GRUPO MEDICO CARDIOVASCULAR CCCPRC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORPORACION CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
Authorized official
WANDA RIVERA-PADRO RDN,CJCP (INSTITUTIONAL PROGRAMS DIRECTOR)
(787) 754-8500
Entity
Organization
Contact information
Practice address
AMERICO MIRANDA AVE MEDICAL CENTER CORNER RIO PIEDRAS, SAN JUAN, PR 00935-0001
(787) 754-8500
Mailing address
PO BOX 366528, SAN JUAN, PR 00936-6528
(787) 754-8500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1378
IMC
PR
01
—
40022
PMC
PR
01
—
700027
MMM
PR
01
—
8000282
HUMANA
PR
Enumeration date
01/14/2021
Last updated
02/15/2021
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