Active NPI
Cardiovascular Surgery of PR PSC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Juan, PR
National Provider Identifier
1235458290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 8880
- Legal business name
- CARDIOVASCULAR SURGERY OF PR PSC
- Practice address
- 735 Ave Ponce de Leon Suite 210
Torre Medica Auxilio Mutuo
San Juan, PR 00917-5024 - Phone
- (787) 773-0417
- NPI assigned
- May 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan J Hernandez, MD
- Title
- Doctor
- Phone
- (787) 773-0417
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 8880 | PR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 8880 | PR | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 16635 | PR |
Addresses
Primary practice location
735 Ave Ponce de Leon Suite 210
Torre Medica Auxilio Mutuo
San Juan, PR 00917-5024
Mailing address
735 Ave Ponce de Leon Suite 210
Torre Medica Auxilio Mutuo
San Juan, PR 00917-5024
Phone (787) 773-0417
National Provider Directory
National Provider DirectoryLocations
735 Ave Ponce de Leon
Ste 210
San Juan, PR 00917
Phone (787) 305-0125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1235458290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON SUITE 210",
"address_2": "TORRE MEDICA AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175024",
"telephone_number": "787-773-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON SUITE 210",
"address_2": "TORRE MEDICA AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175024",
"telephone_number": "787-773-0417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR SURGERY OF PR PSC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-28",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "787-773-0417",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "PR",
"license": "8880",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PR",
"license": "8880",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PR",
"license": "16635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Cardiovascular Healthcare LLC
- Cardiovascular Hi Tech Lab. Inc.
- Cardiovascular Interventional Therapeutics M D P S C
- Cardiovascular Medical Diagnostic Services
- Cardiovascular Radiology Centro
- Gabriela Paola Cardona Cabrera, M.S.
- Miguel P. Cardona Cancio, M.D.
- Adriana Cardona Cruz, MD
- Pilar De Los Angeles Cardona del Valle
- Hector Cardona Doble IX, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.