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Organization

CARDIONOVA P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ULISES RODRIGUEZ M.D. (PRESIDENT)
(787) 812-0700
Entity
Organization

Contact information

Practice address
2225 PONCE BYP # 2225, SUITE 908, PONCE, PR 00717-1321
(787) 812-0700
(787) 812-0707
Mailing address
PO BOX 1406, JUANA DIAZ, PR 00795-1406
(787) 812-0700
(787) 812-0707

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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