| Organization Name: | KARDIONUCLEAR, INC. |
| NPI Number: | 1053649228 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONFESOR LASALLE-RUIZ (PRESIDENT) |
| Mailing Address: | 550 Calle Concepcion Vera Ayala Hospital San Carlos Borromeo 1er Piso Moca |
| State: | PR US |
| Postal Code: | 006760000 |
| Phone Number: | 7875510215 |
| Fax Number: | 7875510214 |
| NPI Enumeration Date: | 11/30/2009 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 7172 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |