SOUTHERN CARDIOVASCULAR GROUP LLC (NPI# 1659744068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659744068 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CARDIOVASCULAR GROUP LLC |
| Practice Address |
2275 Ponce Byp Suite 103 Ponce PR 00717-1380 |
| Mailing Address |
5 Ave San Cristobal Suite 301 Coto Laurel PR 00780 |
| Practice Telephone | 7874842287 |
| Mailing Telephone | 7874842287 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Authorized Official Name | DR. RIGOBERTO RAMOS (PRESIDENT) |
| Authorized Official Telephone | 7874842287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2275 PONCE BYP SUITE 103 |
| City | PONCE |
| State | PR |
| Zip Code | 00717-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| 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 |
|---|---|---|---|---|
| 1013325372 | Dr Fares Cid Mansur, Psc | Internal Medicine | Edif Michelle Plaza, Ste106 Calle Acasia, Ponce, PR 00716 | 2014-07-30 |
| 1437318284 | Helder Oscar Hernandez-rivera | Internal Medicine | 917 Ave Tito Castro Carretera 14, Hospital San Lucas 1st Floor, 200-76, Ponce, PR 00716 | 2008-06-06 |
| 1265545107 | Centro Cirugia Cardiovascular Damas | Internal Medicine | 2213 Ponce Byp, Ponce, PR 00717-1318 | 2006-08-16 |
| 1114030913 | Southern Ekg Services | Internal Medicine | Ponce By Pass 2217 Ave, Ponce, PR 00717 | 2006-08-16 |
| 1578503116 | Fares A Cid Mansur | Internal Medicine | Calle Acacia Edificio Michelle Plaza Sector Villa Flore, Suite 106, Ponce, PR 00716-0000 | 2006-06-08 |
| 1891746624 | Edgardo Bermudez Moreno | Internal Medicine | Saint Lukes Memorial Hospital, 909 Ave Tito Castro Carr 14, Ponce, PR 00731 | 2006-05-15 |
| 1639135742 | Angel R Ferres Cordero | Internal Medicine | 3224 Ursula Cardona, Urb Las Delicias, Ponce, PR 00728-3918 | 2006-04-26 |
| 1316901374 | Pedro A Miro Sotomayor | Internal Medicine | 450 Ferrocarril Street, Suite 302 Santa Maria Medical Building, Ponce, PR 00717-1105 | 2006-04-14 |
| 1164497822 | Gregorio Enrique Terc | Internal Medicine | Caribe Building, 2053 Ponce By Pass, Suite 202, Ponce, PR 00717-1308 | 2006-02-17 |
| 1336119429 | Jose Gomez | Internal Medicine | 2275 Ponce By Pass, Caribbean Medical Centre Suite 103, Ponce, PR 00717-1380 | 2006-01-23 |
| Find all providers in PONCE | ||||
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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.