Organization Active NPI

North East Cardiology Group LLC

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1346697596
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTH EAST CARDIOLOGY GROUP LLC
Practice address
405 Calle de Diego
San Juan, PR 00923-3012
Phone
(787) 758-3506
Fax
(787) 766-1858
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Teodosio J Rucabado, MDNPI 1801907233
Title
President
Phone
(787) 758-3506

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

405 Calle de Diego
San Juan, PR 00923-3012

Mailing address

405 Calle de Diego
San Juan, PR 00923-3012
Phone (787) 758-3506

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1346697596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233012",
            "telephone_number": "787-758-3506",
            "fax_number": "787-766-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233012",
            "telephone_number": "787-758-3506",
            "fax_number": "787-766-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST CARDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RUCABADO",
        "authorized_official_first_name": "TEODOSIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-758-3506",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.