Cardiomed

NPI 1104206028 - Clinic/Center - 261QM2500X

NPI Details
NPI 1104206028
Enumeration Date 06/05/2015
Last Updated 07/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name REYNERIO ELIEZER REYNERIO
Position SOLE MEMBER
Phone (787) 536-5976
Fax
Practice Location
576 AVE ALTERIAL B APT 2109
COLISEUM TOWER
SAN JUAN PR, 00918-2205, US
Phone (787) 536-5976
Fax
Business Location
576 AVE ALTERIAL B APT 2109
COLISEUM TOWER
SAN JUAN PR, 00918-2205, US
Phone (787) 536-5976
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State Puerto Rico
License Number 18536
Remove 1104206028 NPI Number
 

According to our database, Cardiomed NPI is 1104206028, taxonomy code is 261QM2500X and license number is 18536, license state is located at Puerto Rico. Cardiomed physically located at 576 Ave Alterial B Apt 2109, San Juan PR, 00918-2205. NPI Number 1033115704 has the healthcare provider type.

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1104206028 NPI number is provided on an as is basis without warranty of any kind. 1104206028 is maintained by the National Plan & Provider Enumeration System. The contents of Cardiomed are for informational purposes only.