Integrated Cardiovascular Solutions LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INTEGRATED CARDIOVASCULAR SOLUTIONS LLC

Practice address

Carr 129 KM 1.0 Ave San Luis
Arecibo, PR 00613

Phone

(787) 680-7318

NPI assigned

Aug 16, 2021

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Ballester Maldonado, MDNPI 1760878664

Title

President

Phone

(787) 680-7318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Jorge Ballester Maldonado

  • Cardiovascular Disease Physician
  • Arecibo, PR
  • NPI 1760878664
  Medicare reassignment NPD Authorized official
• Jorge Jaime Ballester Echegaray, M.D.

  • General Practice Physician
  • Lares, PR
  • NPI 1588790661
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1275208704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 1.0 AVE SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-680-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARDIOVASCULAR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BALLESTER MALDONADO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-680-7318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto del Cancer Y Enfermedades de la Sangre, CSP
• Instituto del Cancer Y Enfermedades de la Sangre, CSP
• Instituto Radiologico de Arecibo
• Integral Therapy Center
• Integramed Primary Care LLC
• International Pharmacy, Inc (Farmacia International Drug)
• Ipa 22 GRP Medico de Arecibo
• Ipa Policlinica Familiar Factor Doctores Nieves, CSP
• Ipa Policlinica Villa Los Santos
• Ipa Policlinica Villa Los Santos

• Cardiovascular Disease Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.