Individual provider Active NPI

Damian E Grovas-Abad, M.D.

  • Interventional Cardiology Physician
  • San Juan, PR
National Provider Identifier
1992900849
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
14358 Issued in PR
Practice address
Centro Cardiovascular de PR Suite 12
Ave Americo Miranda
San Juan, PR 00936-0092
Phone
(787) 754-6879
Fax
(787) 753-2411
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14358 PR
Interventional Cardiology Physician 207RI0011X 14358 PR Primary

Addresses

Primary practice location

Centro Cardiovascular de PR Suite 12
Ave Americo Miranda
San Juan, PR 00936-0092

Mailing address

A5 Calle Arroyo
El Remanso
San Juan, PR 00926-6101
Phone (787) 667-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000141 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557430311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Americo Miranda St
12 Centro Cardiovascular de PR Y El Caribe
San Juan, PR 00936
Phone (787) 753-2410

Hospital & facility affiliations

  • Centro Cardiovascular de Puerto Rico Y El Caribe Hospital, San Juan, PR, CCN 400124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Leg revascularization (restoring blood flow)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14358PRMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coronary & Peripheral Interventional Center, P.S.C Interventional Cardiology CurrentSince Oct 23, 2008 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Past Accepting new patients

Locations

138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1992900849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A5 CALLE ARROYO",
            "address_2": "EL REMANSO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266101",
            "telephone_number": "787-667-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARDIOVASCULAR DE PR SUITE 12",
            "address_2": "AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360092",
            "telephone_number": "787-754-6879",
            "fax_number": "787-753-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVAS-ABAD",
        "first_name": "DAMIAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "14358",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "14358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.