Provider Demographics
NPI:1316144512
Name:CARIBBEAN HEART SURGERY GROUP PSC
Entity type:Organization
Organization Name:CARIBBEAN HEART SURGERY GROUP PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALDONADO-MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-767-0619
Mailing Address - Street 1:URB SANTA MARIA
Mailing Address - Street 2:CALLE MIMOSA 214
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6225
Mailing Address - Country:US
Mailing Address - Phone:787-767-0619
Mailing Address - Fax:787-767-4127
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PR Y EL CARIBE
Practice Address - Street 2:PRIMER PISO, OFICINA 8
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-6528
Practice Address - Country:US
Practice Address - Phone:787-767-0619
Practice Address - Fax:787-767-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0020638Medicare UPIN