Provider Demographics
NPI:1902836083
Name:CARDIOVASCULAR MEDICAL SYSTEMS CORP
Entity Type:Organization
Organization Name:CARDIOVASCULAR MEDICAL SYSTEMS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:RODRIGUEZ CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-757-9951
Mailing Address - Street 1:PO BOX 20000
Mailing Address - Street 2:PMB 12
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0000
Mailing Address - Country:US
Mailing Address - Phone:787-757-9951
Mailing Address - Fax:787-757-9952
Practice Address - Street 1:139-9A CALLE 401
Practice Address - Street 2:4TA EXT VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-0000
Practice Address - Country:US
Practice Address - Phone:787-757-9951
Practice Address - Fax:787-757-9952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health