Provider Demographics
NPI:1467412817
Name:CLINICA CARDIOVASCULAR MD C S P
Entity Type:Organization
Organization Name:CLINICA CARDIOVASCULAR MD C S P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-714-2310
Mailing Address - Street 1:27 CALLE BALDORIOTY
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-3428
Mailing Address - Country:US
Mailing Address - Phone:787-714-2310
Mailing Address - Fax:787-714-2365
Practice Address - Street 1:27 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-3428
Practice Address - Country:US
Practice Address - Phone:787-714-2310
Practice Address - Fax:787-714-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90145Medicare ID - Type Unspecified
PRH82028Medicare UPIN