Organization Active NPI

Medical Cardiovascular Service Inc

  • Cardiovascular Specialist/Technologist
  • San Juan, PR
National Provider Identifier
1881659548
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
MEDICAL CARDIOVASCULAR SERVICE INC
Practice address
2004 Ave Borinquen
San Juan, PR 00915-3824
Phone
(787) 268-0525
Fax
(787) 268-0525
NPI assigned
Apr 18, 2006
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Carmelo Neira Lugo
Title
Owner
Phone
(787) 268-0525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X NU Primary
EEG Specialist/Technologist 246ZE0500X NU
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU

Addresses

Primary practice location

2004 Ave Borinquen
San Juan, PR 00915-3824

Mailing address

PO Box 14511
San Juan, PR 00916-4511
Phone (787) 268-0525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021001346 PR Part B Supplier - Clinic/Group Practice 8022201060 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1881659548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164511",
            "telephone_number": "787-268-0525",
            "fax_number": "787-268-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153824",
            "telephone_number": "787-268-0525",
            "fax_number": "787-268-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARDIOVASCULAR SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_middle_name": "NEIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-268-0525"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 12, 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.