Organization
CLINICA CARDIOVASCULAR DE GUAYNABO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A ROSADO M.D. (PRESIDENT)
(787) 720-6376
Entity
Organization
Contact information
Practice address
CALLE CARAZO #11, GUAYNABO, PR 00969
(787) 720-6376
(787) 720-6376
Mailing address
PO BOX 965, GUAYNABO, PR 00970-0965
(787) 720-6376
(787) 720-6376
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12896
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12896
MEDICAL LICENSE
PR
Enumeration date
08/14/2006
Last updated
12/21/2009
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