Cardiovascular Diagnostic Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CARDIOVASCULAR DIAGNOSTIC CENTER LLC

Practice address

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

Phone

(787) 375-5119

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Jimenez CastroNPI 1629221825

Title

Administrator

Phone

(787) 375-5119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Eddy A Mieses Ariza, MD

  • Interventional Cardiology Physician
  • Rios Piedras, PR
  • NPI 1235124587
  Medicare reassignment NPD
• Fernando Jimenez Castro

  • Vascular Specialist/Technologist Cardiovascular
  • Caguas, PR
  • NPI 1629221825
  NPD Authorized official

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1376013359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4960",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264960",
            "telephone_number": "787-375-5119"
        },
        {
            "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": "787-375-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-24",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiopace PSC
• Cardiovascular and Physicological Services
• Cardiovascular Cath Experts LLC
• Cardiovascular Consultants & Investments PSC
• Cardiovascular Diagnostic Center
• Cardiovascular Imaging Center
• Cardiovascular Medicine Services PSC
• Rafael A Cardona Gonzalez Sr.
• Victor Jose Cardona Perez
• Nalyan Cardona Vaquez, LND

• Specialist in Caguas, PR
• Providers in Caguas, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.