Innovative Cardiology Center LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

18640 Issued in PR

Legal business name

INNOVATIVE CARDIOLOGY CENTER LLC

Practice address

Hima Plaza 1 Ofic 305
100 Ave Luis Munoz Marin
Caguas, PR 00725

Phone

(787) 920-4090

NPI assigned

Aug 20, 2018

Organization subpart

No

Name

Bladimir Sanchez Perez, MDNPI 1710270897

Title

Presidente

Phone

(787) 354-7853

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

• Bladimir Sanchez - Perez, M.D.

  • Cardiovascular Disease Physician
  • Caguas, PR
  • NPI 1710270897

  Cardiovascular Disease, PR

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2018.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1982184941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND REGENCY PARK APT 305 3F",
            "address_2": "155 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-354-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1 OFIC 305",
            "address_2": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-920-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARDIOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ PEREZ",
        "authorized_official_first_name": "BLADIMIR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-354-7853",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "18640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.