Organization Active NPI

Clinica Cardiovascular MD C S P

  • Cardiovascular Disease Physician
  • Cidra, PR
National Provider Identifier
1467412817
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLINICA CARDIOVASCULAR MD C S P
Practice address
27 Calle Baldorioty
Cidra, PR 00739-3428
Phone
(787) 714-2310
Fax
(787) 714-2365
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Dr. Julia S. Vazquez, M.D.
Title
Cardiologist
Phone
(787) 714-2310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

27 Calle Baldorioty
Cidra, PR 00739-3428

Mailing address

27 Calle Baldorioty
Cidra, PR 00739-3428
Phone (787) 714-2310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000622 PR Part B Supplier - Clinic/Group Practice 2163690322 Receives reassigned benefits from 2 practitioners
Practice locations: Cidra, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1467412817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393428",
            "telephone_number": "787-714-2310",
            "fax_number": "787-714-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393428",
            "telephone_number": "787-714-2310",
            "fax_number": "787-714-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA CARDIOVASCULAR MD C S P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "787-714-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.