| Cardiomed Llc | |
|
1492 Ave Ponce De Leon Ste 717 San Juan PR 00907-4024 | |
| (787) 723-5017 | |
| (787) 723-5015 |
| Full Name | Cardiomed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1492 Ave Ponce De Leon Ste 717, San Juan, Puerto Rico |
| Authorized Official Name and Position | Reynerio Eliezer Perez Ramirez (SOLE MEMBER) |
| Authorized Official Contact | 7875365976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiomed Llc Po Box 11577 Fernandez Juncos Station San Juan PR 00910 Ph: (787) 723-5017 | Cardiomed Llc 1492 Ave Ponce De Leon Ste 717 San Juan PR 00907-4024 Ph: (787) 723-5017 |
| NPI Number | 1104206028 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5890009948 |
|---|---|
| Medicare Enrollment ID | O20150803000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104206028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18536 (Puerto Rico) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 18536 (Puerto Rico) | Primary |
| Provider Name | Reynerio E Perez Ramirez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003049289 PECOS PAC ID: 7315251469 Enrollment ID: I20150803000945 |
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