Provider Demographics
NPI:1336474923
Name:CARDIO AND VASCULAR UNLIMITED SERVICES C.S.P
Entity Type:Organization
Organization Name:CARDIO AND VASCULAR UNLIMITED SERVICES C.S.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGO
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:RODRIGUEZ BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-713-6801
Mailing Address - Street 1:PO BOX 1731
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1731
Mailing Address - Country:US
Mailing Address - Phone:787-713-6801
Mailing Address - Fax:787-734-4129
Practice Address - Street 1:CALLE MUNOZ RIVERA 33
Practice Address - Street 2:URB MADRID
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-713-6801
Practice Address - Fax:787-734-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6167207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEMPLOYER IDENTIFICATION NUMBER (EIN)