Organization Active NPI

Cardio Prevent, P.S.C.

  • Cardiovascular Disease Physician
  • Caguas, PR
National Provider Identifier
1689986036
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12189 Issued in PR
Legal business name
CARDIO PREVENT, P.S.C.
Practice address
Urb. Bairoa, St. Reina Isabel, Ab6
Caguas, PR 00725
Phone
(787) 745-4665
Fax
(787) 743-0177
NPI assigned
Jul 13, 2010
Last updated
Aug 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Gloria Colon, MD
Title
President
Phone
(787) 745-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12189 PR Primary

Addresses

Primary practice location

Urb. Bairoa, St. Reina Isabel, Ab6
Caguas, PR 00725

Mailing address

Calle Reina Isabel, Urb. Bairoa Ab6
Caguas, PR 00725
Phone (787) 745-4665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110225000647 PR Part B Supplier - Clinic/Group Practice 5092996827 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

AB6 Calle Reina Isabel
Caguas, PR 00725
Phone (787) 436-2086

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1689986036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE REINA ISABEL, URB. BAIROA AB6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-4665",
            "fax_number": "787-743-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BAIROA, ST. REINA ISABEL, AB6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-4665",
            "fax_number": "787-743-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO PREVENT, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-745-4665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12189",
            "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 Aug 26, 2010; 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.