Organization Active NPI

Cardiowest Clinica Cardiovascular LLC

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1487377552
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARDIOWEST CLINICA CARDIOVASCULAR LLC
Practice address
2770 Ave Hostos Ste 309
Mayaguez, PR 00682-6386
Phone
(939) 261-0667
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Katherine Soto, MD
Title
President
Phone
(939) 261-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2770 Ave Hostos Ste 309
Mayaguez, PR 00682-6386

Mailing address

PO Box 154
Mayaguez, PR 00681-0154
Phone (939) 261-0667

Other identifiers 1

IdentifierTypeStateIssuer
019491OtherPRLIC

Other names 1

  • Cardiowest Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1487377552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810154",
            "telephone_number": "939-261-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 AVE HOSTOS STE 309",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826386",
            "telephone_number": "939-261-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOWEST CLINICA CARDIOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-261-0667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "019491",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiowest",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 22, 2022; 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.