NPIMap

Organization Active NPI

Cardio Health CSP

  • Cardiovascular Disease Physician
  • Carolina, PR
National Provider Identifier
1023008463
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12543 Issued in PR
Legal business name
CARDIO HEALTH CSP
Practice address
3018 Ave Isla Verde
Carolina, PR 00979
Phone
(787) 726-7438
Fax
(787) 726-2827
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Alfredo Vila
Title
Access Manager
Phone
(787) 726-7438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 12543 PR Primary

Addresses

Primary practice location

3018 Ave Isla Verde
Carolina, PR 00979

Mailing address

PO Box 79490
Carolina, PR 00984-9490
Phone (787) 726-7438

Other identifiers 8

IdentifierTypeStateIssuer
4057OtherPRFIRST PLUS
P528OtherPRFIRST MEDICAL
600080OtherPRMMM
1082OtherPRPREFERRED MEDICAL CHOICE
411OtherPRAMERICAN HEALTH MEDICARE
32475OtherPRASOCIACION DE MAESTROS
85014OtherPRTRIPLE S
9130005OtherPRHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080819000964 PR Part B Supplier - Clinic/Group Practice 6406921881 Receives reassigned benefits from 6 practitioners
Practice locations: Camuy, PR; Carolina, PR

National Provider Directory

National Provider Directory
Tax ID family
Cardio Health CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3018 Ave Isla Verde
Carolina, PR 00979
Phone (787) 726-7438

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1023008463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79490",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849490",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 AVE ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-726-7438",
            "fax_number": "787-726-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO HEALTH CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "787-726-7438"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "4057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "P528",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "600080",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "1082",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "411",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "32475",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "85014",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9130005",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.