Provider Demographics
NPI:1346556925
Name:CARDIOVASCULAR RADIOLOGY INSTITUTE
Entity type:Organization
Organization Name:CARDIOVASCULAR RADIOLOGY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-268-1015
Mailing Address - Street 1:P.O. BOX 11792
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2892
Mailing Address - Country:US
Mailing Address - Phone:787-268-1015
Mailing Address - Fax:787-268-5511
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE P.R. Y EL CARIBE
Practice Address - Street 2:SUITE 1
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-753-1765
Practice Address - Fax:787-771-9182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOVASCULAR RADIOLOGY INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center