Organization Active NPI

Cardio Lab Services PSC

  • Specialist
  • Ponce, PR
National Provider Identifier
1174958821
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10601 Issued in PR
Legal business name
CARDIO LAB SERVICES PSC
Practice address
Santa Maria Medical Building
Suite 302 - 450 Ferrocarril
Ponce, PR 00717-1105
Phone
(787) 844-6669
Fax
(787) 844-6888
NPI assigned
Sep 12, 2013
Last updated
Sep 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Oscar Quintero Serrano, MEDICO
Title
Presidente
Phone
(787) 844-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10601 PR Primary

Addresses

Primary practice location

Santa Maria Medical Building
Suite 302 - 450 Ferrocarril
Ponce, PR 00717-1105

Mailing address

Santa Maria Medical Building
Suite 302 450 Ferrocarril
Ponce, PR 00717-1105
Phone (787) 844-6669

Other identifiers 2

IdentifierTypeStateIssuer
1740364587OtherPRNPI
1194723262OtherPRNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1174958821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL BUILDING",
            "address_2": "SUITE 302 450 FERROCARRIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-844-6669",
            "fax_number": "787-844-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL BUILDING",
            "address_2": "SUITE 302 - 450 FERROCARRIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-844-6669",
            "fax_number": "787-844-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO LAB SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "QUINTERO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-844-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740364587",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194723262",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.