Provider Demographics
NPI:1376851873
Name:CARDIAC RHYTHM CONSULTANTS, PSC
Entity Type:Organization
Organization Name:CARDIAC RHYTHM CONSULTANTS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEVES ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-378-4718
Mailing Address - Street 1:COND MONTE MAYOR # 652
Mailing Address - Street 2:JUAN C DE BORBON 44
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4001
Mailing Address - Country:US
Mailing Address - Phone:787-378-4718
Mailing Address - Fax:888-378-0294
Practice Address - Street 1:100 GRAN BULEVAR PASEOS
Practice Address - Street 2:CARDIAC RHYTHM CONSULTANTS SUITE 102 CPG GALERIA PASEOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-771-3030
Practice Address - Fax:888-378-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16079207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty