Organization Active NPI

Centro Cardiovascular Las Piedras CSP

  • Cardiovascular Disease Physician
  • Las Piedras, PR
National Provider Identifier
1508199092
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRO CARDIOVASCULAR LAS PIEDRAS CSP
Practice address
Carr 198 KM 23.6
Bo. Collores
Las Piedras, PR 00771-0000
Phone
(787) 716-0740
Fax
(787) 716-0003
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Dr. Oscar Kidd, M.D.NPI 1245252063
Title
President
Phone
(787) 716-0740

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: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

Carr 198 KM 23.6
Bo. Collores
Las Piedras, PR 00771-0000

Mailing address

PO Box 2017
PMB 586
Las Piedras, PR 00771-2017
Phone (787) 716-0740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008001630 PR Part B Supplier - Clinic/Group Practice 9133349483 Receives reassigned benefits from 1 practitioner
Practice locations: Las Piedras, 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": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1508199092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017",
            "address_2": "PMB 586",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007712017",
            "telephone_number": "787-716-0740",
            "fax_number": "787-716-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 198 KM 23.6",
            "address_2": "BO. COLLORES",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710000",
            "telephone_number": "787-716-0740",
            "fax_number": "787-716-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR LAS PIEDRAS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-716-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.