Provider Demographics
NPI:1740029297
Name:ADVANCED CARDIOLOGY CARE, PA
Entity type:Organization
Organization Name:ADVANCED CARDIOLOGY CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:915-231-6224
Mailing Address - Street 1:12410 MONTWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-1789
Mailing Address - Country:US
Mailing Address - Phone:915-231-6224
Mailing Address - Fax:915-231-6710
Practice Address - Street 1:12410 MONTWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-1789
Practice Address - Country:US
Practice Address - Phone:915-231-6224
Practice Address - Fax:915-231-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty