Cardiomed Imaging LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

L15000171138 Issued in FL

Legal business name

CARDIOMED IMAGING LLC

Practice address

1016 Mann St
Kissimmee, FL 34741-4121

Phone

(908) 303-3911

Fax

(561) 392-3793

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Vincent Montes

Title

Registered Agent

Phone

(908) 303-3911

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1639618937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "908-303-3911",
            "fax_number": "561-392-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "908-303-3911",
            "fax_number": "561-392-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOMED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "908-303-3911"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "L15000171138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "L15000171138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Cardenas, DO
• Livan Cardentey I, PTA
• Cardiac Clinic of Sunil M. Kakkar, M.D, P.a
• Sayerlen C Cardier
• Cardiocorps LLC
• Cardiotech Ultrasound LLC
• Cardiovascular Associates Inc
• Cardiovascular Consultants Group LLC
• Suyin Cardo
• Hannah Cardoso, SLP-CCC

• Health Maintenance Organization in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.