Organization Active NPI

Ponce Cardiovascular Services, PSC

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1467771998
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8504 Issued in PR
Legal business name
PONCE CARDIOVASCULAR SERVICES, PSC
Practice address
909 Ave Tito Castro
Torre Medica San Lucas Suite 522
Ponce, PR 00716-4728
Phone
(787) 259-3373
Fax
(787) 259-3373
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Cesar P. Cruz Garcia, M.D.NPI 1427057033
Title
Cardiologist, Director
Phone
(787) 259-3373

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 8504 PR Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 16230 PR

Addresses

Primary practice location

909 Ave Tito Castro
Torre Medica San Lucas Suite 522
Ponce, PR 00716-4728

Mailing address

909 Ave Tito Castro
Torre Medica San Lucas Suite 522
Ponce, PR 00716-4728
Phone (787) 259-3373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000392 PR Part B Supplier - Clinic/Group Practice 4486817715 Receives reassigned benefits from 2 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 522
Ponce, PR 00716
Phone (787) 259-3373

Practitioners & affiliated clinicians

Practitioners 3

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1467771998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 522",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-259-3373",
            "fax_number": "787-259-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 522",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-259-3373",
            "fax_number": "787-259-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE CARDIOVASCULAR SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ GARCIA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CARDIOLOGIST, DIRECTOR",
        "authorized_official_telephone_number": "787-259-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8504",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "16230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.