Active NPI
CPR Cardio Care, CSP
- Cardiovascular Disease Physician
- Mayaguez, PR
National Provider Identifier
1407197502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 7697
- Legal business name
- CPR CARDIO CARE, CSP
- Practice address
- 55 De Diego CPR Building
Suite 303-304
Mayaguez, PR 00681 - Phone
- (787) 833-6100
- Fax
- (787) 833-5980
- NPI assigned
- Mar 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jessica Rodriguez Maldonado, BS
- Title
- Assistant
- Phone
- (787) 310-9812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 7697 | PR | Primary |
Addresses
Primary practice location
55 De Diego CPR Building
Suite 303-304
Mayaguez, PR 00681
Mailing address
PO Box 1522
Mayaguez, PR 00681-1522
Phone (787) 833-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518925288 | Other | PR | NPI |
| 1518162890 | Other | PR | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
55 Calle de Diego E
Ste 303304
Mayaguez, PR 00680
Phone (787) 833-6100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Mayaguez, PR
- NPI 1518162890
-
- Cardiovascular Disease Physician
- Mayaguez, PR
- NPI 1518925288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374192000000",
"number": "1407197502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1522",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006811522",
"telephone_number": "787-833-6100",
"fax_number": "787-833-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 DE DIEGO CPR BUILDING",
"address_2": "SUITE 303-304",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-833-6100",
"fax_number": "787-833-5980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPR CARDIO CARE, CSP",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-07-19",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ MALDONADO",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "787-310-9812",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "7697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518925288",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518162890",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.