Provider Demographics
NPI:1326440744
Name:US CARDIOVASCULAR LLC
Entity Type:Organization
Organization Name:US CARDIOVASCULAR LLC
Other - Org Name:SAN ANTONIO HEART, VASCULAR AND RHYTHM CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-217-2480
Mailing Address - Street 1:P.O. BOX 384
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6624
Mailing Address - Country:US
Mailing Address - Phone:845-217-2480
Mailing Address - Fax:845-217-2481
Practice Address - Street 1:6830 HEUERMANN ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-9603
Practice Address - Country:US
Practice Address - Phone:210-802-4350
Practice Address - Fax:210-802-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX376992OtherMEDICARE