Centro de Cardiologia Intervencional Y Periferovascular del Norte, PSC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

13945 Issued in PR

Legal business name

CENTRO DE CARDIOLOGIA INTERVENCIONAL Y PERIFEROVASCULAR DEL NORTE, PSC

Practice address

Centro Cardiocascular de Puerto Rico Y del Caribe
3Rd Floor
San Juan, PR 00936-4903

Phone

(787) 754-8500

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Edwin I Perez Marrero, M.D.NPI 1043203268

Title

President

Phone

(787) 361-1435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Edwin I Perez Marrero, MD

  • Interventional Cardiology Physician
  • San Juan, PR
  • NPI 1043203268

  Interventional Cardiology, PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1114219425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364903",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364903",
            "telephone_number": "787-361-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARDIOCASCULAR DE PUERTO RICO Y DEL CARIBE",
            "address_2": "3RD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364903",
            "telephone_number": "787-754-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CARDIOLOGIA INTERVENCIONAL Y PERIFEROVASCULAR DEL NORTE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ MARRERO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-361-1435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "13945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Interventional Cardiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.