Organization
CENTRO CARDIOVASCULAR DEL ESTE, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN MARSHALL M.D. (PRESIDENT)
(787) 860-0075
Entity
Organization
Contact information
Practice address
375 AVE GEN VALERO, SUITE 105, FAJARDO, PR 00738-4893
(787) 860-0075
(787) 863-6216
Mailing address
PMB 202, P.O. BOX 70005, FAJARDO, PR 00738
(787) 860-0075
(787) 863-6246
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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