Provider Demographics
NPI:1477633964
Name:CARDIOVASCULAR SPECIALTY CENTER INC
Entity Type:Organization
Organization Name:CARDIOVASCULAR SPECIALTY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:G
Authorized Official - Last Name:SANTAMARINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-642-3724
Mailing Address - Street 1:3900 W FLAGLER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1608
Mailing Address - Country:US
Mailing Address - Phone:305-529-9304
Mailing Address - Fax:305-529-9316
Practice Address - Street 1:3900 W FLAGLER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1608
Practice Address - Country:US
Practice Address - Phone:305-529-9304
Practice Address - Fax:305-529-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271535000Medicaid
FL271535000Medicaid