Provider Demographics
NPI:1700402153
Name:CARDIOMED CONSULTANTS, LLC
Entity Type:Organization
Organization Name:CARDIOMED CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON-ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-674-8430
Mailing Address - Street 1:811 AUTUMN PL
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6773
Mailing Address - Country:US
Mailing Address - Phone:985-674-8430
Mailing Address - Fax:985-256-5687
Practice Address - Street 1:811 AUTUMN PL
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-6773
Practice Address - Country:US
Practice Address - Phone:985-256-5599
Practice Address - Fax:985-256-5687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty