Organization Active NPI

Dr.Edgardo Bermudez,Servicios Cardiovasculares, PSC

  • Interventional Cardiology Physician
  • Ponce, PR
National Provider Identifier
1639269301
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
10593 Issued in PR
Legal business name
DR.EDGARDO BERMUDEZ,SERVICIOS CARDIOVASCULARES, PSC
Practice address
Saint Luke Memorial Hospital
909 Ave. Tito Castro Torre Medica Suite 712
Ponce, PR 00716
Phone
(787) 813-0550
Fax
(787) 813-0566
NPI assigned
Oct 13, 2006
Last updated
Aug 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Edgardo Bermudez, MD
Title
President
Phone
(787) 813-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 10593 PR Primary

Addresses

Primary practice location

Saint Luke Memorial Hospital
909 Ave. Tito Castro Torre Medica Suite 712
Ponce, PR 00716

Mailing address

P O Box 7334
Ponce, PR 00732-7334
Phone (787) 813-0550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000721 PR Part B Supplier - Clinic/Group Practice 9436221546 Receives reassigned benefits from 3 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

259 Calle Colon
Aguada, PR 00602
Phone (787) 252-1771

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1639269301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7334",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327334",
            "telephone_number": "787-813-0550",
            "fax_number": "787-813-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT LUKE MEMORIAL HOSPITAL",
            "address_2": "909 AVE. TITO CASTRO TORRE MEDICA SUITE 712",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-813-0550",
            "fax_number": "787-813-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.EDGARDO BERMUDEZ,SERVICIOS CARDIOVASCULARES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-813-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "10593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.