Centro Cardiovascular de San German,CSP

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8633 Issued in PR

Legal business name

CENTRO CARDIOVASCULAR DE SAN GERMAN,CSP

Practice address

Edificio Plaza Metropolitana
Suite 204
San German, PR 00683

Phone

(787) 264-3000

Fax

(787) 892-5994

NPI assigned

Apr 13, 2006

Last updated

Sep 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aribal J Lugo Sr., MD

Title

MD President

Phone

(787) 264-3100

Specialties & licenses 2

Addresses

Other identifiers 5

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, and the practitioner matching its NPPES authorized official.

• Anibal J Lugo Sr., MD

  • Cardiovascular Disease Physician
  • San German, PR
  • NPI 1245307545
  Medicare reassignment NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1760446207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830088",
            "telephone_number": "787-264-3000",
            "fax_number": "787-892-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PLAZA METROPOLITANA",
            "address_2": "SUITE 204",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-3000",
            "fax_number": "787-892-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR DE SAN GERMAN,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "ARIBAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "787-264-3100",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10754",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "0601721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "060510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "SE3332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "1603A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "310754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariloli Cartagena, PHD
• Wanda Casiano Quiles, MD
• Wanda Noemi Casiano
• Efrain Castro Irizarry
• Juan Salvador Ceara Tomei
• Centro de Desarrollo Cognitivo
• Centro de Heridas, Corp.
• Centro de Salud Mental del Oeste
• Centro de Servicios Psicologicos del Oeste
• Centro Reumatologico del Oeste LLC

• Cardiovascular Disease Physician in San German, PR
• Providers in San German, 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 Sep 10, 2012; 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.