1346556925 NPI number — CARDIOVASCULAR RADIOLOGY INSTITUTE

Table of content: MISS ANN MARIE MERCER FNP (NPI 1164580114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346556925 NPI number — CARDIOVASCULAR RADIOLOGY INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARDIOVASCULAR RADIOLOGY INSTITUTE
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:
1346556925
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 11792
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00910-2892
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-268-1015
Provider Business Mailing Address Fax Number:
787-268-5511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO CARDIOVASCULAR DE P.R. Y EL CARIBE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-753-1765
Provider Business Practice Location Address Fax Number:
787-771-9182
Provider Enumeration Date:
08/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERA
Authorized Official First Name:
NYDIA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-268-1015

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com