Centro De Medicina Cardiovascular Y Medicina Nuclear San Carlos

NPI #1700010501 in Moca, Puerto Rico

Provider Information

NPI Number: 1700010501
Entity Type: Organization
Organization Name: Centro De Medicina Cardiovascular Y Medicina Nuclear San Carlos
Primary Specialty: Specialist
Enumeration Date: May 7, 2009
Last Updated: Jul 22, 2009

Practice Location

Address: CONCEPCION VERA AYALA 550 HOSPITAL SAN CARLOS BORROMEO
Address 2: 1ER PISO
City: Moca
State: Puerto Rico
ZIP Code: 00676
Phone: (787) 877-8000

Authorized Official

Name: DR. CONFESOR LA SALLE, M.D.
Title: STOCKHOLDER
Phone: (787) 439-9462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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