INSTITUTO CARDIOVASCULAR SAN RAFAEL (NPI# 1104895002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104895002 |
| Entity Type | Organization |
| Organization Name | INSTITUTO CARDIOVASCULAR SAN RAFAEL |
| Practice Address |
1396 Calle San Rafael Condominio Medical Pavilion Suite 17 San Juan PR 00909-2526 |
| Practice Telephone | 7877222992 |
| Practice Fax Number | 7877242710 |
| Mailing Telephone | 7877222992 |
| Mailing Fax Number | 7877242710 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARCOS DEVARIE (CO-DIRECTOR) |
| Authorized Official Telephone | 7877222992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5544 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
1396 CALLE SAN RAFAEL CONDOMINIO MEDICAL PAVILION SUITE 17 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326465311 | Md Cardiovascular Psc | Preferred Provider Organization | 1396 Calle San Rafael, Medical Pavillion Ste 16 17, San Juan, PR 00909-2526 | 2014-03-27 |
| 1811198922 | Alfred Valdivieso | General Practice | 1396 Calle San Rafael, Medical Pavilion Suite 5, San Juan, PR 00909 | 2007-05-29 |
| 1699736082 | Wilfredo Ortiz-clas | General Practice | 1396 Calle San Rafael, Medical Pavillion - Suite - 15, San Juan, PR 00909-2526 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
| 1437633922 | Medical Ultrasound and Research Group, Corp | Internal Medicine | Urb Villa Prades, 708 Calle Julio Andino, San Juan, PR 00929 | 2018-09-20 |
| 1598164204 | Plaza Cardiovascular Clinic | Internal Medicine | 525 Fd Roosevelt Ave, La Torre De Plaza Suite 804, San Juan, PR 00918 | 2014-08-19 |
| 1447675137 | Pci Group | Internal Medicine | Calle De Diego Apt 21, 474 De Diego Chalets, San Juan, PR 00923 | 2014-03-04 |
| 1518395375 | Centro De Prevencion De Enfermedades Cardiovasculares | Internal Medicine | 600 Blvd De La Montana Apt 462, Arboles De Montehiedra, San Juan, PR 00926-7121 | 2013-10-14 |
| 1497090278 | Jesus E Pijem Garcia | Internal Medicine | 554 Calle Cabo Alverio, Urb La Merced, San Juan, PR 00918-3724 | 2012-12-04 |
| 1699021816 | Modern Cardiology Associates | Internal Medicine | 208 Ave Ponce De Leon # 431, National Plaza Building Suite 326, San Juan, PR 00918-1000 | 2012-07-25 |
| 1205139722 | Centro Medicina Preventiva Dr. Baruch Caballero Valiente | Internal Medicine | Edificio Chevere Avenida Jose De Diego, Oficina 204 Pda 22 Num 328, San Juan, PR 00901 | 2010-12-07 |
| 1508195660 | Andres Mendez | Internal Medicine | 2nd St. #19 Villa Los Olmos, San Juan, PR 00927-4630 | 2009-12-18 |
| 1285867929 | Jose Guillermo Torres-acevedo | Internal Medicine | 1492 Ave Ponce De Leon Ste 717, San Juan, PR 00907 | 2009-08-28 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.