Organization Active NPI

Centro Cardiovascular de Carolina I

  • Clinic/Center
  • Carolina, PR
National Provider Identifier
1043477995
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRO CARDIOVASCULAR DE CAROLINA I
Practice address
4A S3 Anexo Piso 2 Fragoso Ave
Carolina, PR 00984
Phone
(787) 757-0825
Fax
(787) 762-2730
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Roberto R Fred Santana, MD
Title
Owner
Phone
(787) 757-0825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4A S3 Anexo Piso 2 Fragoso Ave
Carolina, PR 00984

Mailing address

PO Box 2250
Rio Grande, PR 00745-2239
Phone (787) 757-0620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1043477995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452239",
            "telephone_number": "787-757-0620",
            "fax_number": "787-762-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4A S3 ANEXO PISO 2 FRAGOSO AVE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-757-0825",
            "fax_number": "787-762-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR DE CAROLINA I",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "FRED SANTANA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-757-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2009; 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.