Organization Active NPI

Cardiovascular Consultants P a

  • Cardiovascular Disease Physician
  • Tamarac, FL
National Provider Identifier
1710949334
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0045573 Issued in FL
Legal business name
CARDIOVASCULAR CONSULTANTS P A
Practice address
7421 N University Dr
Ste112
Tamarac, FL 33321-2977
Phone
(954) 726-0112
Fax
(954) 726-9561
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Ana Luz C Rodriguez
Title
Off Mger
Phone
(954) 726-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0045573 FL Primary

Addresses

Primary practice location

7421 N University Dr
Ste112
Tamarac, FL 33321-2977

Mailing address

7421 N University Dr
Ste 112
Tamarac, FL 33321-2977
Phone (954) 726-0112

Other identifiers 1

IdentifierTypeStateIssuer
252528300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100603000805 FL Part B Supplier - Clinic/Group Practice 8921137787 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Lauderdale, FL; Margate, FL; Tamarac, FL

National Provider Directory

National Provider Directory

Locations

7421 N University Dr
Ste 112
Tamarac, FL 33321
Phone (954) 726-0112

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1710949334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "STE 112",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-726-0112",
            "fax_number": "954-726-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "STE112",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-726-0112",
            "fax_number": "954-726-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANA LUZ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFF MGER",
        "authorized_official_telephone_number": "954-726-0112"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0045573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252528300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

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