Provider Demographics
NPI:1467529628
Name:CARDIO GENERAL ANESTHESIA GROUP PSC
Entity Type:Organization
Organization Name:CARDIO GENERAL ANESTHESIA GROUP PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-843-0244
Mailing Address - Street 1:PO BOX 1790
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-1790
Mailing Address - Country:US
Mailing Address - Phone:787-843-0244
Mailing Address - Fax:787-843-0108
Practice Address - Street 1:HOSPITAL EPISCOPAL SAN LUCAS AVE TITU CASTRO 917
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-843-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty