Organization Active NPI

Centro Cardiovascular Dr Manuel a Quiles Lugo CSP

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1861470932
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8990 Issued in PR
Legal business name
CENTRO CARDIOVASCULAR DR MANUEL A QUILES LUGO CSP
Practice address
Centro Plaza Building
Lloveras St Suite 103
San Juan, PR 00909
Phone
(787) 723-4555
Fax
(787) 721-5180
NPI assigned
Jan 9, 2006
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Manuel A Quiles, MD
Title
President
Phone
(787) 723-4555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8990 PR
Cardiovascular Disease Physician 207RC0000X 8990 PR Primary

Addresses

Primary practice location

Centro Plaza Building
Lloveras St Suite 103
San Juan, PR 00909

Mailing address

PO Box 19062
San Juan, PR 00910-1062
Phone (787) 723-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091028000439 PR Part B Supplier - Clinic/Group Practice 6002953726 Receives reassigned benefits from 1 practitioner
Practice locations: Santurce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1861470932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19062",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101062",
            "telephone_number": "787-723-4555",
            "fax_number": "787-721-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PLAZA BUILDING",
            "address_2": "LLOVERAS ST SUITE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-723-4555",
            "fax_number": "787-721-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR DR MANUEL A QUILES LUGO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "QUILES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-723-4555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8990",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8990",
            "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 Oct 19, 2009; 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.