Organization Active NPI

Advanced Electrophysiology Services LLC

  • Clinical Cardiac Electrophysiology Physician
  • Bayamon, PR
National Provider Identifier
1265862999
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
14185 Issued in PR
Legal business name
ADVANCED ELECTROPHYSIOLOGY SERVICES LLC
Practice address
501 Metro Medical Center a
995 Carretera Num 2
Bayamon, PR 00959
Phone
(787) 294-9039
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Daniel Arzola Castaner, M.D.NPI 1548278187
Title
Sole Member
Phone
(787) 504-8868

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
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X 14185 PR Primary

Addresses

Primary practice location

501 Metro Medical Center a
995 Carretera Num 2
Bayamon, PR 00959

Mailing address

501 Metro Medical Center a
995 Carretera Num. 2
Bayamon, PR 00959

Other identifiers 1

IdentifierTypeStateIssuer
1548278187OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027001102 PR Part B Supplier - Clinic/Group Practice 0446471924 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

66 Calle Santa Cruz
Ste 201
Bayamon, PR 00961
Phone (787) 294-9039

8 Ave Las Cumbres
#205
Guaynabo, PR 00969
Phone (787) 294-9039

8 Ave Las Cumbres
#199
Guaynabo, PR 00969
Phone (787) 294-9039

Practitioners & affiliated clinicians

Practitioners 2

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1265862999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 METRO MEDICAL CENTER A",
            "address_2": "995 CARRETERA NUM. 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 METRO MEDICAL CENTER A",
            "address_2": "995 CARRETERA NUM 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-294-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ELECTROPHYSIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ARZOLA CASTANER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-504-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "14185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548278187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.