| Interventional Cardiology Group Llc | |
|
101 Calle Comercio Juana Diaz PR 00795-1647 | |
| (787) 260-2334 | |
| (787) 260-1846 |
| Full Name | Interventional Cardiology Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 101 Calle Comercio, Juana Diaz, Puerto Rico |
| Authorized Official Name and Position | Edgardo Bermudez Moreno (PRESIDENTE) |
| Authorized Official Contact | 7872602334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Cardiology Group Llc 909 Ave Tito Castro Ste 712 Torre Medica San Luca Ponce PR 00716-4722 Ph: (787) 813-0550 | Interventional Cardiology Group Llc 101 Calle Comercio Juana Diaz PR 00795-1647 Ph: (787) 260-2334 |
| NPI Number | 1487348520 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 08/27/2025 |
| Medicare PECOS PAC ID | 8820441744 |
|---|---|
| Medicare Enrollment ID | O20240126003568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487348520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | David Heredia Sierra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700293990 PECOS PAC ID: 2668703836 Enrollment ID: I20191021000356 |
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