Provider Demographics
NPI:1437308897
Name:CORONARY AND PERIPHERAL INTERVENTIONAL CENTER, P.S.C
Entity Type:Organization
Organization Name:CORONARY AND PERIPHERAL INTERVENTIONAL CENTER, P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERVENTIONAL CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GROVAS-ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:787-667-2701
Mailing Address - Street 1:138 AVE WINSTON CHURCHILL
Mailing Address - Street 2:PMB 356
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-406-1205
Mailing Address - Fax:787-283-3620
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PUERTO RICO, SUITE 12
Practice Address - Street 2:AVE AMERICO MIRANDA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-0092
Practice Address - Country:US
Practice Address - Phone:787-754-6879
Practice Address - Fax:787-753-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14358207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty