Provider Demographics
NPI:1336282029
Name:CAGUAS CARDIO IMAGING GROUP, PSC
Entity Type:Organization
Organization Name:CAGUAS CARDIO IMAGING GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-747-6045
Mailing Address - Street 1:PMB 482 AVE 200 RAFAEL CORDERO
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3757
Mailing Address - Country:US
Mailing Address - Phone:787-747-6045
Mailing Address - Fax:787-258-6551
Practice Address - Street 1:CARIBBEAN CINEMAS BUILDINGS LAS CATALINAS SHOPPING
Practice Address - Street 2:CENTER OFICINA # 208
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3757
Practice Address - Country:US
Practice Address - Phone:787-747-6045
Practice Address - Fax:787-258-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty