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Contact Information

CARDIOVASCULAR PROPHYLAXIS AND EVOLUTION
GQ-13 AVE. CAMPO RICO LOCAL C-2
EXT. COUNTRY CLUB
CAROLINA, PR00982
 Phone: 787-757-7826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for CARDIOVASCULAR PROPHYLAXIS AND EVOLUTION

NPI Number 1306916200
LBN Legal business name CARDIOVASCULAR PROPHYLAXIS AND EVOLUTION
Authorized official ROBERT CRESPO ZAMORA - (ADMINISTRADOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PR License # 3898
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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