Laboratorio Cardiovascular J.P.,CSP

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8250 Issued in PR

Legal business name

LABORATORIO CARDIOVASCULAR J.P.,CSP

Practice address

Street 21 Num. 21 Las Lomas
Hospital Metropolitano 1Floor Suite 103
San Juan, PR 00921

Phone

(787) 783-6620

Fax

(787) 793-8444

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose A Padilla, MDNPI 1134235187

Title

President

Phone

(787) 783-6620

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Laboratorio Cardiovascular J.P.,CSP Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Padilla, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
  • NPI 1134235187
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1659484061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10666",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220666",
            "telephone_number": "787-783-6620",
            "fax_number": "787-793-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 21 NUM. 21 LAS LOMAS",
            "address_2": "HOSPITAL METROPOLITANO 1FLOOR SUITE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-783-6620",
            "fax_number": "787-793-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CARDIOVASCULAR J.P.,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-783-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8250",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "3693",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "069993",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "83349",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "600084",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Cardiovascular J.P.,CSP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cardiovascular Disease Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.