Provider Demographics
NPI:1083892467
Name:RIVERVIEW CARDIOVASCULAR SERVICES CSP
Entity Type:Organization
Organization Name:RIVERVIEW CARDIOVASCULAR SERVICES CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SURILO
Authorized Official - Middle Name:I
Authorized Official - Last Name:ACOSTA CADENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-785-2694
Mailing Address - Street 1:PO BOX 51526
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1526
Mailing Address - Country:US
Mailing Address - Phone:787-785-2694
Mailing Address - Fax:787-787-3109
Practice Address - Street 1:ZA1 CALLE 36
Practice Address - Street 2:URB RIVERVIEW
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3929
Practice Address - Country:US
Practice Address - Phone:787-785-2694
Practice Address - Fax:787-787-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCI925AMedicare PIN