Organization Active NPI

Eastern Cardiovascular Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Morovis, PR
National Provider Identifier
1326015876
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
74409 Issued in PR
Legal business name
EASTERN CARDIOVASCULAR DIAGNOSTIC, INC.
Practice address
1 Calle Herminio Miranda
Morovis, PR 00687-3032
Phone
(787) 780-0991
Fax
(787) 785-0844
NPI assigned
Mar 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Carlos M Pentzke, M.D.
Title
President
Phone
(787) 780-0991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 74409 PR
Diagnostic Radiology Physician 2085R0202X 74409 PR Primary

Addresses

Primary practice location

1 Calle Herminio Miranda
Morovis, PR 00687-3032

Mailing address

PO Box 56378
Bayamon, PR 00960-6878
Phone (787) 780-0991

National Provider Directory

National Provider Directory

Locations

1 Calle Herminio Miranda
Morovis, PR 00687
Phone (787) 663-2289

Practitioners & affiliated clinicians

Practitioners 7

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326015876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56378",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606878",
            "telephone_number": "787-780-0991",
            "fax_number": "787-785-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE HERMINIO MIRANDA",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873032",
            "telephone_number": "787-780-0991",
            "fax_number": "787-785-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CARDIOVASCULAR DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PENTZKE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "74409",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "74409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.