Provider Demographics
NPI:1477984482
Name:NORTH SHORE CARDIOLOGY CSP
Entity Type:Organization
Organization Name:NORTH SHORE CARDIOLOGY CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:JAUME BOSCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1787-882-0434
Mailing Address - Street 1:2053 AVE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:PMB 105 SUITE #2
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5950
Mailing Address - Country:US
Mailing Address - Phone:787-882-0434
Mailing Address - Fax:787-882-0449
Practice Address - Street 1:18 AVE SEVERIANO CUEVAS
Practice Address - Street 2:HOSPITAL BUEN SAMARITANO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-0434
Practice Address - Fax:787-882-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty