Provider Demographics
NPI:1619125507
Name:METROPOLITAN THORACIC & CARDIOVASCULAR SERVICES, C.S.P.
Entity Type:Organization
Organization Name:METROPOLITAN THORACIC & CARDIOVASCULAR SERVICES, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:GONZALEZ-CANCEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-281-0451
Mailing Address - Street 1:PO BOX 70344
Mailing Address - Street 2:PMB 476
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:787-281-0451
Mailing Address - Fax:787-281-0450
Practice Address - Street 1:CENTR CARDIOVASCULAR DE PR Y DEL CARIBE
Practice Address - Street 2:PRIMER PISO SUITE #2
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-281-0451
Practice Address - Fax:787-281-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9454174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty