Provider Demographics
NPI:1801076203
Name:CORNERSTONE CARDIO-VASCULAR
Entity type:Organization
Organization Name:CORNERSTONE CARDIO-VASCULAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-581-1146
Mailing Address - Street 1:1600 TRINITY ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7527
Mailing Address - Country:US
Mailing Address - Phone:956-581-1146
Mailing Address - Fax:956-580-1275
Practice Address - Street 1:1600 TRINITY ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-7527
Practice Address - Country:US
Practice Address - Phone:956-581-1146
Practice Address - Fax:956-580-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0552DCOtherBC/BS
TXFTVUC6Medicare PIN