Southwest Cardiovascular Care Group, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13096 Issued in PR

Legal business name

SOUTHWEST CARDIOVASCULAR CARE GROUP, INC

Practice address

8 Calle Javilla
Plaza Metropolitana Suite 104
San German, PR 00683-4102

Phone

(787) 892-4965

Fax

(787) 264-2340

NPI assigned

May 28, 2014

Last updated

May 28, 2014By 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

Dr. David Bermudez, MD

Title

President

Phone

(787) 892-4965

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Eddanys Martinez, M.D.

  • Internal Medicine Physician
  • San German, PR
  • NPI 1407831514
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1902218704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE JAVILLA",
            "address_2": "PLAZA METROPOLITANA SUITE 104",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834102",
            "telephone_number": "787-892-4965",
            "fax_number": "787-264-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARDIOVASCULAR CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "13096",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "13077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407831514",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215970405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Silva Caraballo, M.D.
• Inara Silvestry-Franqui
• Anamarie Soto Seda, PSYD
• Pablo Soto Soto, MD
• Wilson J. Soto, OPTOMETRIST
• Southwest Hand Surgery LLC
• Southwest Health Corp. (Hospital Metropolitano de San German)
• Southwest Medical Consulting Corp
• Southwest Ophthalmic CSP
• Southwest Optical Corp

• Clinic/Center in San German, PR
• Providers in San German, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.