Organization Active NPI

San Juan Cardiology LLC

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1558080499
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Alejandro Andres Quilichini Oliver, MDNPI 1285081430
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221003000125 PR Part B Supplier - Clinic/Group Practice 3476939273 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.