Provider Demographics
NPI:1790077733
Name:HEART & VASCULAR SERVICES
Entity Type:Organization
Organization Name:HEART & VASCULAR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-746-2065
Mailing Address - Street 1:PO BOX 5100
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5100
Mailing Address - Country:US
Mailing Address - Phone:787-746-2065
Mailing Address - Fax:787-746-2085
Practice Address - Street 1:2 LUIS MUNOZ RIVERA, PROFESSIONAL CENTER BUILDING
Practice Address - Street 2:OFFICE 303
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-2065
Practice Address - Fax:787-746-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10027207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty