Jasaes Medical Diagnostic Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

224843 Issued in PR

Legal business name

JASAES MEDICAL DIAGNOSTIC INC.

Doing business as

Centro Cardiovascular de Toa Alta

Practice address

Carr 165 KM 10.2
Ste 100 Lily Mini Mall
Toa Alta, PR 00953

Phone

(787) 870-3080

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By 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

Sandra Maria Caballero

Title

President

Phone

(787) 870-3080

Specialties & licenses 1

Addresses

Other names 1

• Centro Cardiovascular de Toa Alta Doing business as

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780898650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 AVE RIO HONDO",
            "address_2": "PMB STE 275",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613105",
            "telephone_number": "787-870-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 10.2",
            "address_2": "STE 100 LILY MINI MALL",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASAES MEDICAL DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-3080"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "224843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Cardiovascular de Toa Alta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.