Organization Active NPI

Cardiovascular Medicine Services PSC

  • Cardiovascular Disease Physician
  • Caguas, PR
National Provider Identifier
1609952563
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11710 Issued in PR
Legal business name
CARDIOVASCULAR MEDICINE SERVICES PSC
Practice address
Consolidated Mall, Suite D33C
Ave. Gautier Benitez
Caguas, PR 00725
Phone
(787) 745-2510
Fax
(787) 745-2510
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Jorge L Gonzalez-Santos, M.D.
Title
Cardiologist
Phone
(787) 745-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 11710 PR Primary

Addresses

Primary practice location

Consolidated Mall, Suite D33C
Ave. Gautier Benitez
Caguas, PR 00725

Mailing address

PO Box 7196
Caguas, PR 00726-7196
Phone (787) 745-2510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090223000479 PR Part B Supplier - Clinic/Group Practice 6507921772 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

201 Calle Gautier Benitez
Ste C33D
Caguas, PR 00725
Phone (787) 745-2510

Practitioners & affiliated clinicians

Practitioners 2

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1609952563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7196",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267196",
            "telephone_number": "787-745-2510",
            "fax_number": "787-745-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL, SUITE D33C",
            "address_2": "AVE. GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-2510",
            "fax_number": "787-745-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICINE SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-SANTOS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "787-745-2510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "11710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.