Organization Active NPI

Hatillo Cardiovascular Inc

  • Exclusive Provider Organization
  • Hatillo, PR
National Provider Identifier
1265791941
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
12304 Issued in PR
Legal business name
HATILLO CARDIOVASCULAR INC
Practice address
Carr 128 Bo Bayaney
Hatillo, PR 00659
Phone
(787) 878-4150
Fax
(787) 878-8042
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Juan Carlos Peraza, MD
Title
Cardiologist
Phone
(787) 878-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 12304 PR Primary

Addresses

Primary practice location

Carr 128 Bo Bayaney
Hatillo, PR 00659

Mailing address

PO Box 141742
Arecibo, PR 00614-1742
Phone (787) 878-4150

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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1265791941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141742",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141742",
            "telephone_number": "787-878-4150",
            "fax_number": "787-880-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 128 BO BAYANEY",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-878-4150",
            "fax_number": "787-878-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATILLO CARDIOVASCULAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "PERAZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "787-878-4150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "12304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.