Boulevard Cardiovascular Diagnostic INC

NPI #1164691705 in Catano, Puerto Rico

Provider Information

NPI Number: 1164691705
Entity Type: Organization
Organization Name: Boulevard Cardiovascular Diagnostic INC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 28, 2008
Last Updated: Jan 20, 2015

Practice Location

Address: LAS PALMAS VILLAGE CALLE 19 ESQUINA A
Address 2: LOCAL 3
City: Catano
State: Puerto Rico
ZIP Code: 00962-0000
Phone: (787) 795-8855

Authorized Official

Name: MRS. JULISSA MARTORELL
Title: ADMINISTRATOR
Phone: (787) 795-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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