Provider Demographics
NPI:1609556877
Name:CARDIOCARE PLUS LLC
Entity Type:Organization
Organization Name:CARDIOCARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGAN COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-433-1994
Mailing Address - Street 1:1684 CALLE MARQUESA
Mailing Address - Street 2:VALLE REAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0504
Mailing Address - Country:US
Mailing Address - Phone:787-433-1994
Mailing Address - Fax:
Practice Address - Street 1:URB EL RECREO 44
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-433-1994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty