Organization Active NPI

Cardio Neuro Vascular Services, Inc

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1174638340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIO NEURO VASCULAR SERVICES, INC
Practice address
10-9 Ave North Main
Sierra Bayamon
Bayamon, PR 00961-4325
Phone
(787) 787-4357
Fax
(787) 787-4357
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Valerie Paul
Title
Vice President
Phone
(787) 787-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

10-9 Ave North Main
Sierra Bayamon
Bayamon, PR 00961-4325

Mailing address

10-9 Ave North Main
Sierra Bayamon
Bayamon, PR 00961-4325
Phone (787) 787-4357

Other identifiers 1

IdentifierTypeStateIssuer
3305BOtherPRPREFERRED MEDICARE CHOICE

National Provider Directory

National Provider Directory

Locations

5370 RR 11
Bayamon, PR 00956
Phone (787) 220-1438

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174638340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-9 AVE NORTH MAIN",
            "address_2": "SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614325",
            "telephone_number": "787-787-4357",
            "fax_number": "787-787-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-9 AVE NORTH MAIN",
            "address_2": "SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614325",
            "telephone_number": "787-787-4357",
            "fax_number": "787-787-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO NEURO VASCULAR SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-787-4357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "3305B",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, 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.