Eco-Cardiovascular Testing Lab

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

Legal business name

ECO-CARDIOVASCULAR TESTING LAB

Practice address

E12 Calle 2
Urbanizacion Santa Cruz
Bayamon, PR 00961-6923

Phone

(787) 798-3463

Fax

(787) 798-3463

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Collazo Sr.

Title

Executive Director

Phone

(787) 798-3463

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1407989890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9065054",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009065054",
            "telephone_number": "787-798-3463",
            "fax_number": "787-798-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E12 CALLE 2",
            "address_2": "URBANIZACION SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616923",
            "telephone_number": "787-798-3463",
            "fax_number": "787-798-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECO-CARDIOVASCULAR TESTING LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-798-3463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "6-1835",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "8-4330",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Specialist/Technologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Cardiovascular Specialist/Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.