Provider Demographics
NPI:1063997047
Name:RIRD CARDIOSERV DEL SURESTE
Entity type:Organization
Organization Name:RIRD CARDIOSERV DEL SURESTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA-IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-271-1711
Mailing Address - Street 1:100 CALLE MORSE
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-2607
Mailing Address - Country:US
Mailing Address - Phone:787-271-1711
Mailing Address - Fax:787-839-1113
Practice Address - Street 1:100 CALLE MORSE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2607
Practice Address - Country:US
Practice Address - Phone:787-271-1711
Practice Address - Fax:787-839-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty