Provider Demographics
NPI:1619967445
Name:EKOCARDIODIAGNOTIS INC.
Entity Type:Organization
Organization Name:EKOCARDIODIAGNOTIS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIETA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-798-4330
Mailing Address - Street 1:366 CALLE ENSENADA
Mailing Address - Street 2:PMB SUITE 424
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-3504
Mailing Address - Country:US
Mailing Address - Phone:787-798-4330
Mailing Address - Fax:787-740-8222
Practice Address - Street 1:366 CALLE ENSENADA
Practice Address - Street 2:PMB SUITE 424
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-3504
Practice Address - Country:US
Practice Address - Phone:787-798-4330
Practice Address - Fax:787-740-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28007Medicare ID - Type Unspecified