Provider Demographics
NPI:1336381011
Name:CARDIOVASCULAR SURGERY OF PR WESTERN CORP
Entity Type:Organization
Organization Name:CARDIOVASCULAR SURGERY OF PR WESTERN CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARCIA-RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-831-1607
Mailing Address - Street 1:PO BOX 6684
Mailing Address - Street 2:MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6684
Mailing Address - Country:US
Mailing Address - Phone:787-831-1607
Mailing Address - Fax:787-265-3711
Practice Address - Street 1:410 CARR 2
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1560
Practice Address - Country:US
Practice Address - Phone:787-831-1607
Practice Address - Fax:787-265-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5510208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty