Organization Active NPI

Cardiopace PSC

  • Specialist
  • Caguas, PR
National Provider Identifier
1730621186
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10524 Issued in PR
Legal business name
CARDIOPACE PSC
Practice address
50 Ave Luis Munoz Marin
Ste 303
Caguas, PR 00725-3975
Phone
(787) 745-2666
Fax
(787) 745-2662
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Miss Sandra Lopez
Title
Administradora
Phone
(787) 745-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10524 PR Primary

Addresses

Primary practice location

50 Ave Luis Munoz Marin
Ste 303
Caguas, PR 00725-3975

Mailing address

50 Ave Luis Munoz Marin
Ste 303
Caguas, PR 00725-3975
Phone (787) 745-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170426000578 PR Part B Supplier - Clinic/Group Practice 0648557884 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR; San Lorenzo, PR

National Provider Directory

National Provider Directory

Locations

50 Ave Luis Munoz Marin
Ste 303
Caguas, PR 00725
Phone (787) 745-2666

Practitioners & affiliated clinicians

Practitioners 1

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": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1730621186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN",
            "address_2": "STE 303",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-745-2666",
            "fax_number": "787-745-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN",
            "address_2": "STE 303",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253975",
            "telephone_number": "787-745-2666",
            "fax_number": "787-745-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOPACE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-745-2666",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "10524",
            "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 Nov 15, 2016; 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.