DR. EDGARDO BERMUDEZ MORENO (NPI# 1891746624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891746624 |
| Entity Type | Individual |
| Full Name | DR. EDGARDO BERMUDEZ MORENO |
| Credential | MD |
| Practice Address |
Saint Lukes Memorial Hospital 909 Ave Tito Castro Carr 14 Ponce PR 00731 |
| Mailing Address |
Po Box 7334 Ponce PR 00732-7334 |
| Practice Telephone | 7878130550 |
| Practice Fax Number | 7878130566 |
| Mailing Telephone | 7878130550 |
| Mailing Fax Number | 7878130566 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
10593 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
SAINT LUKES MEMORIAL HOSPITAL 909 AVE TITO CASTRO CARR 14 |
| City | PONCE |
| State | PR |
| Zip Code | 00731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742719 | Charlenee Cordero-hernandez | Specialist/Technologist | Bo. Magueyes Carr. Pr 123, Km 10.1, Ponce, PR 00731 | 2020-08-25 |
| 1194350405 | Genesis Salcedo | Student in an Organized Health Care Education/Training Program | Bo Pastillo Tibes, Carretera 503 Km 6.9, Ponce, PR 00731 | 2020-03-06 |
| 1437612991 | Rosa Santiago Molina | Social Worker | Condominio Senotial Plaza Calle Salud 313, Edificio #10, Ponce, PR 00731 | 2019-04-11 |
| 1265990048 | Advance Medical & Administrative Support Corp | Point of Service | 1326 Salud, Condominio El Senorial Plaza Suite 413, Ponce, PR 00731 | 2019-03-11 |
| 1841767860 | Annette Roman Marrero | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Reparada Lote 2, Ponce, PR 00731 | 2018-10-29 |
| 1699253765 | Red De Medicos Asociados Del Sur, Inc | Clinic/Center | Pr10 Km 0.1 Barrio Canas, Ponce, PR 00731 | 2018-08-01 |
| 1457872616 | Wanda Ivelisse Davila | Registered Nurse | Assmca Centro De Servicio, Carr.13 Barrio Machuelo Terreno Hospital San Lucas, Ponce, PR 00731 | 2017-06-28 |
| 1790205037 | Sonia Iris Cintron | Registered Nurse | Carretera 13 Barrio Machuelo Terreno Hosp San Lucas, Assmca Centro De Servicio, Ponce, PR 00731 | 2017-06-27 |
| 1457899502 | Stephanie Albelo Ortiz | Specialist/Technologist | Carr 132 Km 22 7, Reparto Valle Alegre, Ponce, PR 00731 | 2017-02-09 |
| 1508223652 | Professional Integrated Medical Solution,psc | Clinic/Center | 121 Calle Castania, Urb Terra Senorial, Ponce, PR 00731 | 2016-01-20 |
| Find all providers in zip 00731 | ||||
| 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 |
|---|---|---|---|---|
| 1659744068 | Southern Cardiovascular Group LLC | Internal Medicine | 2275 Ponce Byp, Suite 103, Ponce, PR 00717-1380 | 2015-11-06 |
| 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 |
| 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.