Cardiowest Clinica Cardiovascular Llc | |
2770 Ave Hostos Ste 309 Mayaguez PR 00682-6386 | |
(939) 261-0667 | |
Not Available |
Full Name | Cardiowest Clinica Cardiovascular Llc |
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Speciality | Internal Medicine |
Location | 2770 Ave Hostos Ste 309, Mayaguez, Puerto Rico |
Authorized Official Name and Position | Katherine Soto (PRESIDENT) |
Authorized Official Contact | 9392610667 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardiowest Clinica Cardiovascular Llc Po Box 154 Mayaguez PR 00681-0154 Ph: (939) 261-0667 | Cardiowest Clinica Cardiovascular Llc 2770 Ave Hostos Ste 309 Mayaguez PR 00682-6386 Ph: (939) 261-0667 |
NPI Number | 1487377552 |
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Provider Enumeration Date | 09/22/2022 |
Last Update Date | 09/22/2022 |
Medicare PECOS PAC ID | 5193194009 |
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Medicare Enrollment ID | O20221216000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487377552 | NPI | - | NPPES |
019491 | Other | PR | LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Katherine Soto Moreno |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1689019028 PECOS PAC ID: 0749607299 Enrollment ID: I20200828000491 |
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