Organization Active NPI

Centro Cardiovascular de Arecibo, PSC

  • Medical Specialty Clinic/Center
  • Arecibo, PR
National Provider Identifier
1952701906
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DM05598 Issued in PR
Legal business name
CENTRO CARDIOVASCULAR DE ARECIBO, PSC
Practice address
702 Ave San Luis
Arecibo, PR 00612-3810
Phone
(787) 879-4632
Fax
(787) 881-5762
NPI assigned
Aug 27, 2014
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Mr. Carlos Alberto Salgado, MDNPI 1831297217
Title
President
Phone
(787) 879-4632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DM05598 PR Primary

Addresses

Primary practice location

702 Ave San Luis
Arecibo, PR 00612-3810

Mailing address

PO Box 560
Arecibo, PR 00613-0560
Phone (787) 879-4632

Other identifiers 3

IdentifierTypeStateIssuer
207RC0000XOtherPRCARDIOVASCULAR DISEASE
6407OtherPRINTERVENTIONAL CARDIOLOGY
207R10011XOtherPRINTERNAL MEDICINE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001114 PR Part B Supplier - Clinic/Group Practice 0345565727 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

702 Ave San Luis
Arecibo, PR 00612
Phone (787) 879-4646

Practitioners & affiliated clinicians

Practitioners 3

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1952701906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130560",
            "telephone_number": "787-879-4632",
            "fax_number": "787-881-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 AVE SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123810",
            "telephone_number": "787-879-4632",
            "fax_number": "787-881-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARDIOVASCULAR DE ARECIBO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-879-4632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "DM05598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARDIOVASCULAR DISEASE",
            "identifier": "207RC0000X",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERVENTIONAL CARDIOLOGY",
            "identifier": "6407",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "207R10011X",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.