Organization Active NPI

Cardio Clinic Inc

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1962510602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6072 Issued in PR
Legal business name
CARDIO CLINIC INC
Practice address
Ave de Diego
150 Suite 501 506 San Juan Health Centre
San Juan, PR 00907
Phone
(787) 724-0550
Fax
(787) 724-0561
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Osvaldo Jimenez, MD
Title
President
Phone
(787) 724-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 6072 PR Primary

Addresses

Primary practice location

Ave de Diego
150 Suite 501 506 San Juan Health Centre
San Juan, PR 00907

Mailing address

PO Box 361588
San Juan, PR 00936-1588

National Provider Directory

National Provider Directory

Locations

150 Ave de Diego
Ste 501
San Juan, PR 00907
Phone (787) 724-0550

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962510602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361588",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO",
            "address_2": "150 SUITE 501 506 SAN JUAN HEALTH CENTRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-0550",
            "fax_number": "787-724-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-724-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.