Cardiovascular Prophylaxis and Evolution

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

3898 Issued in PR

Legal business name

CARDIOVASCULAR PROPHYLAXIS AND EVOLUTION

Practice address

GQ-13 Ave. Campo Rico Local C-2
Ext. Country Club
Carolina, PR 00982

Phone

(787) 757-7826

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By 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

Mr. Robert Crespo Zamora

Title

Administrador

Phone

(787) 757-7826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306916200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 PMB BOX 70158",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368158",
            "telephone_number": "787-757-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GQ-13 AVE. CAMPO RICO LOCAL C-2",
            "address_2": "EXT. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-757-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR PROPHYLAXIS AND EVOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESPO ZAMORA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-757-7826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A Capo, DMD
• Melanie A Caraballo, MS
• Edgardo Luis Carazo, MD
• Cardio Health CSP
• Cardiovascular Medical Systems Corp
• Rocio Marie Cardona Munoz, M.D.
• Iris Rebecca Cardona, M.D.
• Myrna Yaritza Cardona, D.M.D.
• Caremark Puerto Rico Specialty (CVS/specialty)
• Careway LLC

• Physiological Laboratory in Carolina, PR
• Providers in Carolina, PR by specialty
• Physiological Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.