Provider Demographics
NPI:1194757435
Name:CARDIO NEURO MEDICAL SERVICES
Entity type:Organization
Organization Name:CARDIO NEURO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-268-0525
Mailing Address - Street 1:PO BOX 14511
Mailing Address - Street 2:BARRCO OBRERO
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00916
Mailing Address - Country:US
Mailing Address - Phone:787-268-0525
Mailing Address - Fax:
Practice Address - Street 1:AVE BORINGUEN 2004
Practice Address - Street 2:BARRCO OBRERO
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00916
Practice Address - Country:US
Practice Address - Phone:787-268-0528
Practice Address - Fax:787-268-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Multi-Specialty
Not Answered246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
Not Answered2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Multi-Specialty