Organization Active NPI

Centro Cardionuclear de Ponce

  • Nuclear Cardiology Physician
  • Ponce, PR
National Provider Identifier
1205090487
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
CENTRO CARDIONUCLEAR DE PONCE
Practice address
Ave Tito Castro 909
Torre Medica San Lucas Oficina 509
Ponce, PR 00716
Phone
(787) 812-1210
Fax
(787) 812-1211
NPI assigned
Jul 16, 2008
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Fares A Cid Mansur, MDNPI 1578503116
Title
President
Phone
(787) 812-1210

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
Nuclear Cardiology Physician 207UN0901X NU Primary

Addresses

Primary practice location

Ave Tito Castro 909
Torre Medica San Lucas Oficina 509
Ponce, PR 00716

Mailing address

PMB 383609
Ave Tito Castro Suite 102
Ponce, PR 00716
Phone (787) 812-1210

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 509
Ponce, PR 00716

Practitioners & affiliated clinicians

Practitioners 2

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1205090487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 383609",
            "address_2": "AVE TITO CASTRO SUITE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-1210",
            "fax_number": "787-812-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE TITO CASTRO 909",
            "address_2": "TORRE MEDICA SAN LUCAS OFICINA 509",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-1210",
            "fax_number": "787-812-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIONUCLEAR DE PONCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CID MANSUR",
        "authorized_official_first_name": "FARES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-812-1210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 5, 2010; 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.