CENTRO CARDIONUCLEAR DE PONCE (NPI# 1205090487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090487 |
| Entity Type | Organization |
| Organization Name | CENTRO CARDIONUCLEAR DE PONCE |
| Practice Address |
Ave Tito Castro 909 Torre Medica San Lucas Oficina 509 Ponce PR 00716 |
| Mailing Address |
Pmb 383609 Ave Tito Castro Suite 102 Ponce PR 00716 |
| Practice Telephone | 7878121210 |
| Practice Fax Number | 7878121211 |
| Mailing Telephone | 7878121210 |
| Mailing Fax Number | 7878121211 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | FARES A CID MANSUR (PRESIDENT) |
| Authorized Official Telephone | 7878121210 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
AVE TITO CASTRO 909 TORRE MEDICA SAN LUCAS OFICINA 509 |
| City | PONCE |
| State | PR |
| Zip Code | 00716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447524236 | Rio Grande Nuclear Psc | Nuclear Medicine | 13 Calle San Juan, Esq. Del Carmen, Rio Grande, PR 00745-3015 | 2012-02-27 |
| 1235310533 | Centro Cardionuclear De Guayama, Csp | Nuclear Medicine | Calle 4 Bloque B 222, Urb Vives, Guayama, PR 00785 | 2007-11-15 |
| 1336282029 | Caguas Cardio Imaging Group, Psc | Nuclear Medicine | Caribbean Cinemas Buildings Las Catalinas Shopping, Center Oficina # 208, Caguas, PR 00725-3757 | 2007-02-14 |
| 1770590770 | Nuclear Medicine, Inc | Nuclear Medicine | Edif Medico Menonita, Ofic 209, Cayey, PR 00736 | 2006-08-02 |
| 1033190426 | Miguel Serpa Perez | Nuclear Medicine | Centro Nuclear, San Cristobal, Cotto Laurel, PR 00780-0389 | 2005-11-11 |
| 1053307736 | Centro Sononuclear De Rio Piedras | Nuclear Medicine | 1028 Calle Los Angeles, Urb Del Carmen, San Juan, PR 00923-2646 | 2005-09-27 |
| 1225527542 | Nuclear Scan Psc | Nuclear Medicine | 11 Calle Carazo, Guaynabo, PR 00969-5636 | 2018-05-02 |
| 1992944136 | Southern Medical Imaging, Psc | Nuclear Medicine | 227 Calle Isabel, Mansion Real, Coto Laurel, PR 00780-2601 | 2009-02-11 |
| 1053574301 | Nuclear Medicine Associate,p.s.c. | Nuclear Medicine | Ave Pedro Albizu Campos, Hospital Cristo Redentor, Guayama, PR 00785 | 2008-07-08 |
| 1912189366 | Centro Cardiovascular Del Este, C.s.p. | Nuclear Medicine | 375 Ave Gen Valero, Suite 105, Fajardo, PR 00738-4893 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
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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.