Provider Demographics
NPI:1386745651
Name:EL SENORIAL CARDIOVASCULAR SERVICES INC
Entity type:Organization
Organization Name:EL SENORIAL CARDIOVASCULAR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-766-2200
Mailing Address - Street 1:1716 CALLE PARANA
Mailing Address - Street 2:EL CEREZAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3148
Mailing Address - Country:US
Mailing Address - Phone:787-766-2200
Mailing Address - Fax:787-282-0483
Practice Address - Street 1:URB. EL CEREZAL
Practice Address - Street 2:CALLE PARANA #1716
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-766-2200
Practice Address - Fax:787-282-0483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR061022OtherLA CRUZ AZUL PROV #
PR511329OtherPREFERRED HEALTH PROV #
PR601876OtherMMM HEALTHCARE PROV #
PR80208OtherTRIPLE S PROV #
PR2598OtherPMC PROV #
PR2936OtherAHP PROV #
PR=========CAOtherOPTIONS PROV #
PR0087874Medicare PIN