MD Cardiovascular PSC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5544 Issued in PR

Legal business name

MD CARDIOVASCULAR PSC

Practice address

1396 Calle San Rafael
Medical Pavillion Ste 16 17
San Juan, PR 00909-2526

Phone

(787) 722-2992

Fax

(787) 998-7010

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marcos Devarie Diaz

Title

Cardiology

Phone

(787) 746-7990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1326465311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261630",
            "telephone_number": "787-746-7990",
            "fax_number": "787-743-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILLION STE 16 17",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092526",
            "telephone_number": "787-722-2992",
            "fax_number": "787-998-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARDIOVASCULAR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "DEVARIE DIAZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "CARDIOLOGY",
        "authorized_official_telephone_number": "787-746-7990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MCS Life Insurance Company
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• Arturo Meana, DDS
• Med Care Group Services Inc
• Med Caribe CSP
• Med Infusion and Wound Care LLC

• Preferred Provider Organization in San Juan, PR
• Providers in San Juan, PR by specialty
• Preferred Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.