1841430105 NPI number — SOUTHWESTERN CARDIOLOGY GROUP, INC

Table of content: KYLE WILLIAM BINDER M.D., PH.D. (NPI 1841635422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841430105 NPI number — SOUTHWESTERN CARDIOLOGY GROUP, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHWESTERN CARDIOLOGY GROUP, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841430105
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 331788
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00733-1788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-844-2780
Provider Business Mailing Address Fax Number:
787-844-2832

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2225 PONCE BY PASS
Provider Second Line Business Practice Location Address:
EDIF PARRA SUITE 905
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-2780
Provider Business Practice Location Address Fax Number:
787-844-2832
Provider Enumeration Date:
02/26/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CARRO
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CARDIOLOGIST
Authorized Official Telephone Number:
787-844-2780

Provider Taxonomy Codes

  • Taxonomy code: 302R00000X , with the licence number:  6958 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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