Provider Demographics
NPI:1336578095
Name:WB CARDIOLOGY PSC
Entity Type:Organization
Organization Name:WB CARDIOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-504-5013
Mailing Address - Street 1:PO BOX 10172
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0172
Mailing Address - Country:US
Mailing Address - Phone:787-735-0035
Mailing Address - Fax:
Practice Address - Street 1:JOE C. VAZQUEZ STREET, STATE ROAD 726
Practice Address - Street 2:EDIFICIO PROFESIONAL MENONITA SUITE 305
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-0035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17594207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty