Kardionuclear PSC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KARDIONUCLEAR PSC

Practice address

550 Calle Concepcion
Hosp San Carlos de Borromeo 1 Piso
Moca, PR 00676

Phone

(787) 551-0215

Fax

(787) 551-0214

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Confesor Lasalle-Ruiz, MD

Title

President

Phone

(787) 551-0215

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1144534934",
    "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",
            "address_2": "HOSP SAN CARLOS DE BORROMEO 1 PISO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-551-0215",
            "fax_number": "787-551-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARDIONUCLEAR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "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": "Dr.",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACR",
            "identifier": "51220-02",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRC",
            "identifier": "52-35164-01",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanitza Jimenez
• 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, Inc.
• KR Anesthesiology Services LLC
• Lab Clinico Hernandez Inc.
• Lab Lorimar LLC (Laboratorio Clinico Lorimar)
• 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.