Active NPI
Instituto Cardiovascular de Coamo, CSP
- Cardiovascular Disease Physician
- Coamo, PR
National Provider Identifier
1679964373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12894
- Legal business name
- INSTITUTO CARDIOVASCULAR DE COAMO, CSP
- Practice address
- 134 Calle Jose I Quinton
Coamo, PR 00769 - Phone
- (787) 803-3636
- Fax
- (787) 803-3637
- NPI assigned
- Feb 17, 2015
- Last updated
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Diaz Diaz, MD
- Title
- President
- Phone
- (787) 803-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12894 | PR | Primary |
Addresses
Primary practice location
134 Calle Jose I Quinton
Coamo, PR 00769
Mailing address
PO Box 2156
Coamo, PR 00769-4156
Phone (787) 803-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Cardiovascular Disease Physician
- Coamo, PR
- NPI 1154376952
-
- Internal Medicine Physician
- Coamo, PR
- NPI 1992773147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1679964373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2156",
"city": "COAMO",
"state": "PR",
"postal_code": "007694156",
"telephone_number": "787-803-3636",
"fax_number": "787-803-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 CALLE JOSE I QUINTON",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-803-3636",
"fax_number": "787-803-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTO CARDIOVASCULAR DE COAMO, CSP",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-17",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "DIAZ DIAZ",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-803-3636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "12894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coamo, PR
- Iniciativa Psicoeducativa
- Inmed Care System LLC.
- Inspira Behavioral Care Corp.
- Inspira Behavioral Care Corp.
- Inspira Mental Health Management
- Inter Island Medical Equipment, Inc
- Liliana Keitt-Blanks
- Laboratorio Clinico Coamo Inc
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Soram, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.