Active NPI
San Juan Cardiology LLC
- Cardiovascular Disease Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SAN JUAN CARDIOLOGY LLC
- Practice address
- Ave. Ponce de Leon #715, Parada 37 1/2
San Juan, PR 00918 - Phone
- (787) 758-2000
- NPI assigned
- Aug 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alejandro Andres Quilichini Oliver, MD
- Title
- President
- Phone
- (787) 309-8015
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
Ave. Ponce de Leon #715, Parada 37 1/2
San Juan, PR 00918
Mailing address
Miramonte 15, Garden Hills Tower
603
Guaynabo, PR 00966
Phone (787) 309-8015
Other practice location 1
Miramonte 15, Garden Hills Tower
603
Guaynabo, PR 00966
Phone (787) 309-8015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
539 Calle a
San Juan, PR 00917
Phone (787) 765-0054
715 Ave Ponce de Leon
#37
San Juan, PR 00917
Phone (787) 296-0870
539 Calle a
San Juan, PR 00917
Phone (787) 765-0054
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- San Juan, PR
- NPI 1285081430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1558080499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MIRAMONTE 15, GARDEN HILLS TOWER",
"address_2": "603",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-309-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. PONCE DE LEON #715, PARADA 37 1/2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [
{
"address_1": "Miramonte 15, Garden Hills Tower",
"address_2": "603",
"address_purpose": "LOCATION",
"city": "Guaynabo",
"state": "PR",
"postal_code": "00966",
"country_code": "US",
"telephone_number": "787-309-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAN JUAN CARDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-31",
"certification_date": "2022-08-29",
"status": "A",
"authorized_official_last_name": "QUILICHINI OLIVER",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_middle_name": "ANDRES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-309-8015",
"authorized_official_credential": "MD"
},
"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 San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.