Organization Active NPI

Instituto Cardiovascular de Bayamon LLC

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1962928366
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INSTITUTO CARDIOVASCULAR DE BAYAMON LLC
Practice address
48 Calle 1 Ext Hermanas Davila
Bayamon, PR 00959
Phone
(787) 785-4851
Fax
(787) 740-3929
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Mr. Juan Antonio Rodriguez, MDNPI 1245331339
Title
M.D.
Phone
(787) 785-4851

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X PR Primary
Advanced Heart Failure and Transplant Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0001X PR

Addresses

Primary practice location

48 Calle 1 Ext Hermanas Davila
Bayamon, PR 00959

Mailing address

P.O. Box 2990
Bayamon, PR 00960
Phone (787) 785-4851

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1962928366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2990",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-785-4851",
            "fax_number": "787-740-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CALLE 1 EXT HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-785-4851",
            "fax_number": "787-740-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO CARDIOVASCULAR DE BAYAMON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "787-785-4851",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.