Organization Active NPI

PR Cardiology Group PSC

Doing business as PR Cardiology Group

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1467917294
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PR CARDIOLOGY GROUP PSC
Doing business as
PR Cardiology Group
Practice address
576 Calle Cesar Gonzalez Ste 406
San Juan, PR 00918-3758
Phone
(787) 474-9870
NPI assigned
Feb 6, 2019
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Edgardo J Reyes - Aponte, MDNPI 1700173762
Title
President
Phone
(787) 474-9870

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

576 Calle Cesar Gonzalez Ste 406
San Juan, PR 00918-3758

Mailing address

PO Box 191808
San Juan, PR 00919-1808
Phone (787) 474-9870

Other names 1

  • PR CARDIOLOGY GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625001895 PR Part B Supplier - Clinic/Group Practice 7012241094 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

576 Calle Cesar Gonzalez
Ste 406
San Juan, PR 00918
Phone (787) 474-9870

29 Calle Washington
Ste 805
San Juan, PR 00907
Phone (787) 509-5559

Practitioners & affiliated clinicians

Practitioners 3

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": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1467917294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191808",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191808",
            "telephone_number": "787-474-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183758",
            "telephone_number": "787-474-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR CARDIOLOGY GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "REYES - APONTE",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-474-9870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR CARDIOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PR CARDIOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.