NPI 1326465311

MD Cardiovascular Psc

Organisation Preferred Provider Organization San Juan, PR

Practice location

Address: 1396 Calle San Rafael Medical Pavillion STE 16 17, San Juan, PR 00909-2526
Phone: (787) 722-2992
Fax: (787) 998-7010
Mailing address: PO Box 1630, Caguas, PR 00726-1630

Authorised official

Name: Marcos Devarie Diaz
Title: Cardiology
Phone: (787) 746-7990

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5544 (PR)

Other Preferred Provider Organization providers in Puerto Rico →

Registry record

NPI: 1326465311
Entity type: Organization
NPI issued: 27 Mar 2014
Record last updated: 30 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.