Centro Tecnico Cardiovascular Y Periferovascular

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

CENTRO TECNICO CARDIOVASCULAR Y PERIFEROVASCULAR

Practice address

Center for Medical Specialities
Road 693 KM. 5.8
Dorado, PR 00949

Phone

(787) 245-6542

Fax

(787) 815-3437

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Evelyn Diaz, CERTIFIED TECHNICIANNPI 1093905317

Title

Owner

Phone

(787) 245-6542

Specialties & licenses 1

Addresses

Other names 1

• CARDITEC Other name

Practitioners 1

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

• Evelyn Diaz

  • Physiological Laboratory
  • Dorado, PR
  • NPI 1093905317
  NPD (past) Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1356535462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA C-14",
            "address_2": "URB. SANTA MARIA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-245-6542",
            "fax_number": "787-815-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR MEDICAL SPECIALITIES",
            "address_2": "ROAD 693 KM. 5.8",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-245-6542",
            "fax_number": "787-815-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO TECNICO CARDIOVASCULAR Y PERIFEROVASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-245-6542",
        "authorized_official_credential": "CERTIFIED TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDITEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• CDT Dorado Medical Complex, Inc.
• Alejandro Enrique Cedeno Moran
• Centro Clinico del Norte Pena LLC
• Centro de Vacunacion Dr. Hector Santiago
• Centro Imagen
• Centro Yahveh-Rafa Evaluaciones Y Terapias
• Ivan Cerezo, M.D.
• Mary T Chacon Crespo, M.D.
• Derrick Ranier Champion, D.D.S.
• Chiro-Athletics LLC

• All providers in Dorado, PR
• Physiological Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.