Dr Fares Cid Mansur, PSC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10164 Issued in PR

Legal business name

DR FARES CID MANSUR, PSC

Practice address

Edif Michelle Plaza
Ste106 Calle Acasia
Ponce, PR 00716

Phone

(787) 812-1210

Fax

(787) 812-1211

NPI assigned

Jul 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fares A Cid, M.D.

Title

President

Phone

(787) 812-1210

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1013325372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 383 609",
            "address_2": "AVE TITO CASTRO STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-1210",
            "fax_number": "787-812-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MICHELLE PLAZA",
            "address_2": "STE106 CALLE ACASIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-1210",
            "fax_number": "787-812-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FARES CID MANSUR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CID",
        "authorized_official_first_name": "FARES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-812-1210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.