Provider Demographics
NPI:1295804326
Name:DDJ HEART VASCULAR CENTER
Entity type:Organization
Organization Name:DDJ HEART VASCULAR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-525-9090
Mailing Address - Street 1:461 AVE DE DIEGO
Mailing Address - Street 2:LOCAL B PUERTO NUEVO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-3706
Mailing Address - Country:US
Mailing Address - Phone:787-277-0450
Mailing Address - Fax:787-277-0403
Practice Address - Street 1:461 AVE DE DIEGO
Practice Address - Street 2:LOCAL B PUERTO NUEVO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-3706
Practice Address - Country:US
Practice Address - Phone:787-277-0450
Practice Address - Fax:787-277-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty