| Organization Name: | CENTRO CARDIONUCLEAR DE GUAYAMA, CSP |
| NPI Number: | 1235310533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE ACEVEDO (PRESIDENT) |
| Mailing Address: | Calle 4 Bloque B 222 Urb Vives Guayama |
| State: | PR US |
| Postal Code: | 00785 |
| Phone Number: | 7878643370 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 04/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |