Organization Active NPI

Puerto Rico Cardiac Arrhythmia Management LLC

  • Clinical Cardiac Electrophysiology Physician
  • Cayey, PR
National Provider Identifier
1356860357
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
20760 Issued in PR
Legal business name
PUERTO RICO CARDIAC ARRHYTHMIA MANAGEMENT LLC
Practice address
Centro Medico Menonita de Cayey
Edificio Profesional Suite 410
Cayey, PR 00737
Phone
(787) 388-9001
Fax
(787) 738-2105
NPI assigned
Sep 12, 2017
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Jose M Marcial Suarez, MDNPI 1124334875
Title
President
Phone
(787) 461-1174

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20760 PR
Clinical Cardiac Electrophysiology Physician 207RC0001X 20760 PR Primary

Addresses

Primary practice location

Centro Medico Menonita de Cayey
Edificio Profesional Suite 410
Cayey, PR 00737

Mailing address

404 Ave de la Constitucion Apt 901
San Juan, PR 00901-2247
Phone (787) 461-1174

Other practice location 1

Hospital Ryder 355 Calle Font Martelo
410
Humacao, PR 00741-3249
Phone (787) 920-4090

Other practice location 2

Route #2 Km 11.7 Bayamon Medical Plaza
Suite 705
Bayamon, PR 00958
Phone (787) 920-4090

Other practice location 3

HIMA Plaza 1 Avenida Luis Munoz Marin
Suite 305
Caguas, PR 00725
Phone (787) 920-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180409001174 PR Part B Supplier - Clinic/Group Practice 3779846563 Receives reassigned benefits from 1 practitioner
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Locations

355 Calle Font Martelo
#410
Humacao, PR 00791
Phone (787) 920-4090

Practitioners & affiliated clinicians

Practitioners 2

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": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1356860357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 AVE DE LA CONSTITUCION APT 901",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012247",
            "telephone_number": "787-461-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO MENONITA DE CAYEY",
            "address_2": "EDIFICIO PROFESIONAL SUITE 410",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-388-9001",
            "fax_number": "787-738-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Ryder 355 Calle Font Martelo",
            "address_2": "410",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007413249",
            "country_code": "US",
            "telephone_number": "787-920-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Route #2 Km 11.7 Bayamon Medical Plaza",
            "address_2": "Suite 705",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00958",
            "country_code": "US",
            "telephone_number": "787-920-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HIMA Plaza 1 Avenida Luis Munoz Marin",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-920-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUERTO RICO CARDIAC ARRHYTHMIA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "MARCIAL SUAREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-461-1174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "20760",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "20760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.