Organization Active NPI

Cardiovascular Medical Diagnostic Services

  • Physiological Laboratory
  • San Juan, PR
National Provider Identifier
1801007794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
3878 Issued in PR
Legal business name
CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES
Practice address
Urb. Berwind Estates
Calle 17 T-9
San Juan, PR 00924
Phone
(787) 752-4818
Fax
(787) 752-4818
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carmen Judith Pagan
Title
Presidenta
Phone
(787) 960-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 3878 PR Primary

Addresses

Primary practice location

Urb. Berwind Estates
Calle 17 T-9
San Juan, PR 00924

Mailing address

Urb. Berwind Estates
Calle 17 T-9
San Juan, PR 00924
Phone (787) 752-4818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801007794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BERWIND ESTATES",
            "address_2": "CALLE 17 T-9",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-752-4818",
            "fax_number": "787-752-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BERWIND ESTATES",
            "address_2": "CALLE 17 T-9",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-752-4818",
            "fax_number": "787-752-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-960-1275",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": "3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • 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.