Provider Demographics
NPI:1689015190
Name:CENTRO CARDIONUCLEAR LAS PIEDRAS, PSC
Entity Type:Organization
Organization Name:CENTRO CARDIONUCLEAR LAS PIEDRAS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-860-5877
Mailing Address - Street 1:100 GRAN BULEVAR PASEOS
Mailing Address - Street 2:SUITE 112 MSO 271
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5955
Mailing Address - Country:US
Mailing Address - Phone:787-292-3657
Mailing Address - Fax:787-292-3657
Practice Address - Street 1:CALLE UNION #101
Practice Address - Street 2:SUITE 202 ESQ. CELIS AGUILERA
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-5877
Practice Address - Fax:787-292-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty