Provider Demographics
NPI:1508199092
Name:CENTRO CARDIOVASCULAR LAS PIEDRAS CSP
Entity Type:Organization
Organization Name:CENTRO CARDIOVASCULAR LAS PIEDRAS CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-716-0740
Mailing Address - Street 1:PO BOX 2017
Mailing Address - Street 2:PMB 586
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-2017
Mailing Address - Country:US
Mailing Address - Phone:787-716-0740
Mailing Address - Fax:787-716-0003
Practice Address - Street 1:CARR 198 KM 23.6
Practice Address - Street 2:BO. COLLORES
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-0000
Practice Address - Country:US
Practice Address - Phone:787-716-0740
Practice Address - Fax:787-716-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty