Organization Active NPI

Western Cardiology LLC

  • Cardiovascular Disease Physician
  • Anasco, PR
National Provider Identifier
1467047555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WESTERN CARDIOLOGY LLC
Practice address
Carr 401 KM 0.5 Bo. Hatillo
Anasco, PR 00610
Phone
(787) 826-0090
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Migdoel Cruz Rodriguez, MDNPI 1316333404
Title
Cardiologist
Phone
(787) 372-4222

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
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

Carr 401 KM 0.5 Bo. Hatillo
Anasco, PR 00610

Mailing address

HC 63 Box 3806
Patillas, PR 00723-9642
Phone (787) 372-4222

Other practice location 1

Carr 402 Km 2.9
Aasco, PR 00610
Phone (787) 372-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712003420 PR Part B Supplier - Clinic/Group Practice 1951703024 Receives reassigned benefits from 1 practitioner
Practice locations: Anasco, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467047555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3806",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007239642",
            "telephone_number": "787-372-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 401 KM 0.5 BO. HATILLO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 402 Km 2.9",
            "address_purpose": "LOCATION",
            "city": "Aasco",
            "state": "PR",
            "postal_code": "00610",
            "country_code": "US",
            "telephone_number": "787-372-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ RODRIGUEZ",
        "authorized_official_first_name": "MIGDOEL",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "787-372-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.