Provider Demographics
NPI:1720252414
Name:CARDIOLOGOS UNIDOS DEL NOROESTE, CSP
Entity Type:Organization
Organization Name:CARDIOLOGOS UNIDOS DEL NOROESTE, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:YADIRAH
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-819-1925
Mailing Address - Street 1:AVE SEVERIANO CUEVAS # 18
Mailing Address - Street 2:HOSPITAL BUEN SAMARITANO
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-819-1925
Mailing Address - Fax:787-819-1928
Practice Address - Street 1:SEVERIANO CUEVAS #18
Practice Address - Street 2:HOSPITAL BUEN SAMARITANO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605-5261
Practice Address - Country:US
Practice Address - Phone:787-819-1925
Practice Address - Fax:787-819-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty