Active NPI
Centro Cardiovascular del Este, C.S.P.
- Cardiovascular Disease Physician
- Fajardo, PR
National Provider Identifier
1912189366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CENTRO CARDIOVASCULAR DEL ESTE, C.S.P.
- Practice address
- 375 Ave Gen Valero
Suite 105
Fajardo, PR 00738-4893 - Phone
- (787) 860-0075
- Fax
- (787) 863-6216
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Marshall, M.D.
- Title
- President
- Phone
- (787) 860-0075
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
375 Ave Gen Valero
Suite 105
Fajardo, PR 00738-4893
Mailing address
PMB 202
P.O. Box 70005
Fajardo, PR 00738
Phone (787) 860-0075
National Provider Directory
National Provider DirectoryLocations
375 Ave General Valero
Fajardo, PR 00738
Phone (787) 556-1587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1912189366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 202",
"address_2": "P.O. BOX 70005",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-860-0075",
"fax_number": "787-863-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 AVE GEN VALERO",
"address_2": "SUITE 105",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007384893",
"telephone_number": "787-860-0075",
"fax_number": "787-863-6216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO CARDIOVASCULAR DEL ESTE, C.S.P.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-860-0075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
- Casa de Salud del Este Inc.
- Castro Gastroenterology Medical Services, LLC
- Eric Manuel Castrodad Santini, DC
- Carmen E Ceballos Bonano, RN
- Centro Cardionuclear Las Piedras, PSC
- Centro Ciehlo Inc
- Centro de Hematologia Y Oncologia del Este
- Centro de Hematologia Y Oncologia del Este CSP
- Centro de Terapia Fisica de Fajardo
- Centro Dental Pediatrico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.