Provider Demographics
NPI:1346387867
Name:E-PR CARDIOVASCULAR & MEDICAL MANAGEMENT CORP.
Entity Type:Organization
Organization Name:E-PR CARDIOVASCULAR & MEDICAL MANAGEMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEREZ-RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-579-2252
Mailing Address - Street 1:PO BOX 363806
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3806
Mailing Address - Country:US
Mailing Address - Phone:954-579-2252
Mailing Address - Fax:787-797-5365
Practice Address - Street 1:LOS DOMINICOS
Practice Address - Street 2:43TH STREET, 34TH BLOCK, NO. 1, MIRAFLORES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-3787
Practice Address - Country:US
Practice Address - Phone:787-797-5365
Practice Address - Fax:787-797-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2008-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4609207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty