Edgardo Bermudez Moreno, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10593 Issued in PR

Practice address

Saint Lukes Memorial Hospital
909 Ave Tito Castro Carr 14
Ponce, PR 00731

Phone

(787) 813-0550

Fax

(787) 813-0566

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interventional Cardiology Group LLC

  • General Practice Physician
  • Juana Diaz, PR
  • NPI 1487348520

  Interventional Cardiology, PR

  Medicare reassignment NPD Authorized official
• Dr.Edgardo Bermudez,Servicios Cardiovasculares, PSC

  • Interventional Cardiology Physician
  • Ponce, PR
  • NPI 1639269301

  Interventional Cardiology, PR

  Medicare reassignment NPD
• Cardionova P.S.C.

  • Exclusive Provider Organization
  • Ponce, PR
  • NPI 1891045704
  NPD (past)
• Serv Emerg del Noroeste

  • Multi-Specialty Clinic/Center
  • Aguada, PR
  • NPI 1558468876
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes Memorial Hospital Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1891746624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7334",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327334",
            "telephone_number": "787-813-0550",
            "fax_number": "787-813-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT LUKES MEMORIAL HOSPITAL",
            "address_2": "909 AVE TITO CASTRO CARR 14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-813-0550",
            "fax_number": "787-813-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ MORENO",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Antonio Berdecia Sr.
• Berdiel & Asociados CSP
• Miguel Jabbar Berdiel-Aponte, MD
• Jessica Maria Berenguer
• Natalia Marie Berlingeri-Aymat
• Stephanie Bermudez Rivera, M.D.
• Bermudez Ruiz Imaging,PSC
• Alexandra Marie Bermudez-Medina
• Emelisa Bermudez
• Marielle Bernard

• All providers in Ponce, PR
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.