Organization Active NPI

Centro Cardiovascular de Manati III CSP

  • Cardiovascular Disease Physician
  • Manati, PR
National Provider Identifier
1285687780
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRO CARDIOVASCULAR DE MANATI III CSP
Practice address
1 Calle Marginal Ext
Manati, PR 00674-4998
Phone
(787) 854-6361
Fax
(787) 884-3021
NPI assigned
May 18, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Jose R Martinez BarrosoNPI 1629120225
Title
Owner
Phone
(787) 854-6361

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

1 Calle Marginal Ext
Manati, PR 00674-4998

Mailing address

1 Calle Marginal Ext
Manati, PR 00674-4998
Phone (787) 854-6361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000053 PR Part B Supplier - Clinic/Group Practice 3072600410 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Marginal Ext
Manati, PR 00674
Phone (787) 854-6361

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1285687780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE MARGINAL EXT",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744998",
            "telephone_number": "787-854-6361",
            "fax_number": "787-884-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE MARGINAL EXT",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744998",
            "telephone_number": "787-854-6361",
            "fax_number": "787-884-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR DE MANATI III CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ BARROSO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-854-6361",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.