Provider Demographics
NPI:1992900849
Name:GROVAS-ABAD, DAMIAN E (MD)
Entity type:Individual
Prefix:
First Name:DAMIAN
Middle Name:E
Last Name:GROVAS-ABAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:A5 CALLE ARROYO
Mailing Address - Street 2:EL REMANSO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6101
Mailing Address - Country:US
Mailing Address - Phone:787-667-2701
Mailing Address - Fax:
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PR SUITE 12
Practice Address - Street 2:AVE AMERICO MIRANDA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-0092
Practice Address - Country:US
Practice Address - Phone:787-754-6879
Practice Address - Fax:787-753-2411
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR14358207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease