Organization Active NPI

Centro Cardiovascular del Este, C.S.P.

  • Cardiovascular Disease Physician
  • Fajardo, PR
National Provider Identifier
1912189366
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Nov 28, 2007

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.