1497605489 NPI number — OPTIMAL CARDIOVASCULAR SERVICES LLC

Table of content: (NPI 1497605489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497605489 NPI number — OPTIMAL CARDIOVASCULAR SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPTIMAL CARDIOVASCULAR SERVICES LLC
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:
1497605489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB VILLA SERENA
Provider Second Line Business Mailing Address:
54 CALLE LOIRE
Provider Business Mailing Address City Name:
SANTA ISABEL
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00757-2546
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-514-0419
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 AVE DEGETAU STE 403
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725-7306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-514-0419
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2026

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES COLON
Authorized Official First Name:
OMAR
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
787-514-0419

Provider Taxonomy Codes

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

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





Copyright © 2007-2026 www.npivalidator.com