Organization Active NPI

Cardiovascular Diagnostic Center

  • Physiological Laboratory
  • Caguas, PR
National Provider Identifier
1356473292
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
3704 Issued in PR
Legal business name
CARDIOVASCULAR DIAGNOSTIC CENTER
Doing business as
CARDIOVASCULAR DIAGNOSTIC CENTER
Practice address
Urb. Villa Nueva a-20
Carr. 172
Caguas, PR 00725
Phone
(787) 453-7091
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Fernando Jimenez Castro
Title
Administrator
Phone
(787) 375-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 3704 PR Primary

Addresses

Primary practice location

Urb. Villa Nueva a-20
Carr. 172
Caguas, PR 00725

Mailing address

PMB 254 PO Box 4960
Caguas, PR 00726-4960
Phone (787) 453-7091

Other names 1

  • CARDIOVASCULAR DIAGNOSTIC CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1356473292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 254 PO BOX 4960",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264960",
            "telephone_number": "787-453-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA NUEVA A-20",
            "address_2": "CARR. 172",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-453-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ CASTRO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-375-5119"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": "3704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.