CARDIO SERV DEL SUR E CSP


Address: Calle Ashford Num 23, Guayama, PR 00784
Phone: 7878645130

CARDIO SERV DEL SUR E CSP (NPI# 1679705867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679705867
Entity Type Organization
Organization Name CARDIO SERV DEL SUR E CSP
Practice Address Calle Ashford Num 23
Guayama
PR 00784
Mailing Address Calle Ashford Num 23 N
Guayama
PR 00784-0000
Practice Telephone 7878645130
Mailing Telephone 7878645130
Enumeration Date 2009-08-20
Last Update Date 2009-08-20
Authorized Official Name DR. ARNALDO IVAN ZAPATA (CARDIOLOGIST)
Authorized Official Telephone 7878645130
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address CALLE ASHFORD NUM 23
City GUAYAMA
State PR
Zip Code 00784

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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City GUAYAMA
Zip Code 00784

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Dataset Information

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.

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