| PR Cardiology Group | |
|
576 Calle Cesar Gonzalez Ste 406 San Juan PR 00918-3758 | |
| (787) 474-9870 | |
| Not Available |
| Full Name | PR Cardiology Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 576 Calle Cesar Gonzalez Ste 406, San Juan, Puerto Rico |
| Authorized Official Name and Position | Edgardo J Reyes - Aponte (PRESIDENT) |
| Authorized Official Contact | 7874749870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| PR Cardiology Group Po Box 191808 San Juan PR 00919-1808 Ph: (787) 474-9870 | PR Cardiology Group 576 Calle Cesar Gonzalez Ste 406 San Juan PR 00918-3758 Ph: (787) 474-9870 |
| NPI Number | 1467917294 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 7012241094 |
|---|---|
| Medicare Enrollment ID | O20190625001895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467917294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Primary |
| Provider Name | Edgardo Javier Reyes Aponte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700173762 PECOS PAC ID: 8921332909 Enrollment ID: I20190625002100 |
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