Provider Demographics
NPI:1629108154
Name:THE HEART CENTER PC
Entity Type:Organization
Organization Name:THE HEART CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:GALIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-778-1802
Mailing Address - Street 1:4500 ISLAND MEDICAL CENTER
Mailing Address - Street 2:SUITE B 4
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820
Mailing Address - Country:US
Mailing Address - Phone:340-778-1802
Mailing Address - Fax:340-778-6460
Practice Address - Street 1:4500 ISLAND MEDICAL CENTER
Practice Address - Street 2:SUITE B 4
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-778-1802
Practice Address - Fax:340-778-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI960207RC0000X
KS0424136207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G40961Medicare UPIN
VI0079409Medicare PIN