Organization Active NPI

Instituto Cardiovascular San Francisco

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1235279308
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INSTITUTO CARDIOVASCULAR SAN FRANCISCO
Practice address
369 Calle de Diego
Suite 306
San Juan, PR 00923-3003
Phone
(787) 765-2312
Fax
(787) 759-8159
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Ramon M Perea, M.D.NPI 1225178874
Title
President
Phone
(787) 759-8159

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

369 Calle de Diego
Suite 306
San Juan, PR 00923-3003

Mailing address

PMB 444
P.O. Box 70344
San Juan, PR 00936-8344
Phone (787) 765-2312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000624 PR Part B Supplier - Clinic/Group Practice 5698934354 Receives reassigned benefits from 3 practitioners
Practice locations: Canovanas, PR; Rio Piedras, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

18400 Carr 3
Ste 130A
Canovanas, PR 00729
Phone (787) 256-0777

369 Calle de Diego
Ste 306
San Juan, PR 00923
Phone (787) 765-2312

306 Ave de Diego
#369
San Juan, PR 00920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1235279308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 444",
            "address_2": "P.O. BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-765-2312",
            "fax_number": "787-759-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 306",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-765-2312",
            "fax_number": "787-759-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO CARDIOVASCULAR SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-759-8159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.