Organization Active NPI

Caribbean Cardiac & Thoracic Surgery Institute, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mayaguez, PR
National Provider Identifier
1417463126
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
10847 Issued in PR
Legal business name
CARIBBEAN CARDIAC & THORACIC SURGERY INSTITUTE, LLC
Practice address
Mayaguez Medical Ctr
Mayaguez, PR 00682-1560
Phone
(787) 652-9200
NPI assigned
Dec 18, 2017
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Dr. Eugenio Mulero Portela, M.D.NPI 1669464517
Title
President
Phone
(787) 432-3355

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 10847 PR Primary

Addresses

Primary practice location

Mayaguez Medical Ctr
Mayaguez, PR 00682-1560

Mailing address

PO Box 10249
Ponce, PR 00732-0249
Phone (787) 432-3355

Other practice location 1

309 Calle Canario
Ponce, PR 00716-2806
Phone (787) 432-3355

Other identifiers 1

IdentifierTypeStateIssuer
1669464517MedicaidPR

National Provider Directory

National Provider Directory

Locations

917 Ave Tito Castro
Ste 519
Ponce, PR 00716

Practitioners & affiliated clinicians

Practitioners 6

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": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1417463126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10249",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320249",
            "telephone_number": "787-432-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CTR",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Calle Canario",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007162806",
            "country_code": "US",
            "telephone_number": "787-432-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARIBBEAN CARDIAC & THORACIC SURGERY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MULERO PORTELA",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-432-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PR",
            "license": "10847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669464517",
            "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 Apr 29, 2025; 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.