Kardionuclear, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KARDIONUCLEAR, INC.

Practice address

550 Calle Concepcion Vera Ayala
Hospital San Carlos Borromeo 1ER Piso
Moca, PR 00676-0000

Phone

(787) 551-0215

Fax

(787) 551-0214

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Confesor Lasalle-Ruiz, MDNPI 1275633984

Title

President

Phone

(787) 551-0215

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KARDIONUCLEAR Former legal business name

Practitioners 1

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

• Confesor Lasalle-Ruiz, M.D.

  • Cardiovascular Disease Physician
  • San Sebastian, PR
  • NPI 1275633984
  NPD (past) Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1053649228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780976",
            "telephone_number": "787-551-0215",
            "fax_number": "787-551-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE CONCEPCION VERA AYALA",
            "address_2": "HOSPITAL SAN CARLOS BORROMEO 1ER PISO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760000",
            "telephone_number": "787-551-0215",
            "fax_number": "787-551-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARDIONUCLEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "LASALLE-RUIZ",
        "authorized_official_first_name": "CONFESOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-551-0215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "7172",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "11046",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRC",
            "identifier": "52-35164-01",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACR",
            "identifier": "51220-02",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KARDIONUCLEAR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jose Daniel Mercado Galarza (Puerto Rico Emergency Services)
• Joy Group Corporation
• Juan a Sierra Vega (Brother Ambulance Service)
• Rene David Juan, D.D.M.
• Kardionuclear PSC
• KR Anesthesiology Services LLC
• Lab Clinico Hernandez Inc.
• Lab Lorimar LLC (Laboratorio Clinico Lorimar)
• Lab Lorimar LLC
• Lab. Lorimar LLC

• Multi-Specialty Clinic/Center in Moca, PR
• Providers in Moca, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.