Provider Demographics
NPI:1962118190
Name:HEART FAILURE CARE LLC
Entity type:Organization
Organization Name:HEART FAILURE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PUIG CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-409-7788
Mailing Address - Street 1:COND PINE GROVE
Mailing Address - Street 2:B6 AVE ISLA VERDE APT 46A
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7128
Mailing Address - Country:US
Mailing Address - Phone:787-409-7788
Mailing Address - Fax:
Practice Address - Street 1:AVE JOSE CELSO BARBOSA BO MONACILLO
Practice Address - Street 2:CENTRO CARDIOVASCULAR DE PR Y CARIBE 1ER PISO SUITE 3
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-679-8800
Practice Address - Fax:787-767-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1487933784Medicaid