NPIMap

Organization Active NPI

Instituto Cardiovascular San Rafael

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1104895002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5544 Issued in PR
Legal business name
INSTITUTO CARDIOVASCULAR SAN RAFAEL
Practice address
1396 Calle San Rafael
Condominio Medical Pavilion Suite 17
San Juan, PR 00909-2526
Phone
(787) 722-2992
Fax
(787) 724-2710
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marcos DevarieNPI 1114996857
Title
Co-Director
Phone
(787) 722-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 5544 PR Primary

Addresses

Primary practice location

1396 Calle San Rafael
Condominio Medical Pavilion Suite 17
San Juan, PR 00909-2526

Mailing address

1396 Calle San Rafael
Condominio Medical Pavilion Suite 17
San Juan, PR 00909-2526
Phone (787) 722-2992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104895002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "CONDOMINIO MEDICAL PAVILION SUITE 17",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092526",
            "telephone_number": "787-722-2992",
            "fax_number": "787-724-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "CONDOMINIO MEDICAL PAVILION SUITE 17",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092526",
            "telephone_number": "787-722-2992",
            "fax_number": "787-724-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO CARDIOVASCULAR SAN RAFAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVARIE",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "787-722-2992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.