1386745651 NPI number — EL SENORIAL CARDIOVASCULAR SERVICES INC

Table of content: (NPI 1386745651)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386745651 NPI number — EL SENORIAL CARDIOVASCULAR SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EL SENORIAL CARDIOVASCULAR SERVICES 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:
1386745651
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1716 CALLE PARANA
Provider Second Line Business Mailing Address:
EL CEREZAL
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00926-3148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-766-2200
Provider Business Mailing Address Fax Number:
787-282-0483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. EL CEREZAL
Provider Second Line Business Practice Location Address:
CALLE PARANA #1716
Provider Business Practice Location Address City Name:
SAN JUAN
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:
787-766-2200
Provider Business Practice Location Address Fax Number:
787-282-0483
Provider Enumeration Date:
09/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TOSADO
Authorized Official First Name:
AWILDA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-766-2200

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207UN0901X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 061022 . This is a "LA CRUZ AZUL PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 511329 . This is a "PREFERRED HEALTH PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 601876 . This is a "MMM HEALTHCARE PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 80208 . This is a "TRIPLE S PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2598 . This is a "PMC PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2936 . This is a "AHP PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com