Provider Demographics
NPI:1023008463
Name:CARDIO HEALTH CSP
Entity Type:Organization
Organization Name:CARDIO HEALTH CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FIGUEROA-TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-726-7438
Mailing Address - Street 1:PO BOX 79709
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-9709
Mailing Address - Country:US
Mailing Address - Phone:787-726-7438
Mailing Address - Fax:787-726-2827
Practice Address - Street 1:3018 AVE ISLA VERDE
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-726-7438
Practice Address - Fax:787-726-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12543207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1082OtherPREFERRED MEDICAL CHOICE
PR32475OtherASOCIACION DE MAESTROS
PR600080OtherMMM
PR9130005OtherHUMANA
PR85014OtherTRIPLE S
PRP528OtherFIRST MEDICAL
PR4057OtherFIRST PLUS
PR411OtherAMERICAN HEALTH MEDICARE
PR85014OtherTRIPLE S
PR9130005OtherHUMANA
PR411OtherAMERICAN HEALTH MEDICARE
PR20738Medicare PIN