NPIMap

Organization Active NPI

Cardiocare Heart and Vascular Center PLLC

  • Cardiovascular Disease Physician
  • Jupiter, FL
National Provider Identifier
1134803471
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOCARE HEART AND VASCULAR CENTER PLLC
Practice address
210 Jupiter Lakes Blvd
BLDG 5000 Ste 202
Jupiter, FL 33458-5810
Phone
(561) 831-8451
Fax
(833) 968-3335
NPI assigned
Jun 14, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Emilio Garcia, MDNPI 1255747507
Title
Ceo
Phone
(786) 427-7558

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 Physician 207RC0000X Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd
BLDG 5000 Ste 202
Jupiter, FL 33458-5810

Mailing address

210 Jupiter Lakes Blvd
BLDG 5000 Ste 202
Jupiter, FL 33458-5810
Phone (561) 831-8451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003001189 FL Part B Supplier - Clinic/Group Practice 9436503927 Receives reassigned benefits from 5 practitioners
Practice locations: Jupiter, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 5202
Jupiter, FL 33458
Phone (561) 748-1242

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1134803471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "BLDG 5000 STE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585810",
            "telephone_number": "561-831-8451",
            "fax_number": "833-968-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "BLDG 5000 STE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585810",
            "telephone_number": "561-831-8451",
            "fax_number": "833-968-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOCARE HEART AND VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-427-7558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.