SOUTHERN CARDIOVASCULAR SURGERY


Address: 5 Calle Guadalupe, San Lucas I, Edif Francisco Revs, Ponce, PR 00730-3111
Phone: 7878404030

SOUTHERN CARDIOVASCULAR SURGERY (NPI# 1548241482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548241482
Entity Type Organization
Organization Name SOUTHERN CARDIOVASCULAR SURGERY
Practice Address 5 Calle Guadalupe
San Lucas I, Edif Francisco Revs
Ponce
PR 00730-3111
Mailing Address Po Box 330230
Ponce
PR 00733-0230
Practice Telephone 7878404030
Practice Fax Number 7878404310
Mailing Telephone 7878404030
Mailing Fax Number 7878404310
Enumeration Date 2005-11-08
Last Update Date 2020-08-22
Authorized Official Name SALVADOR JIMENEZ (PRESIDENT)
Authorized Official Telephone 7878404030
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 8605 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR CRUZ AZUL 60100 01
SSS 88703 01
HUMANA 9500000 01

Office Location

Street Address 5 CALLE GUADALUPE
SAN LUCAS I, EDIF FRANCISCO REVS
City PONCE
State PR
Zip Code 00730-3111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992305197 Hector Ruben Vazquez-torres General Practice Valle Alto Calle Cordillera, 1146, Ponce, PR 00730 2020-10-27
1245837327 Christopher Jose Gotay Serrano Rehabilitation Counselor Urb. Santa Teresita Calle Santa Suzana 3711, Ponce, PR 00730 2020-10-02
1194330225 Lilia Marlene Quintero General Practice Urb. Santa Teresita #4994 Santa Paula, Ponce, PR 00730 2020-09-15
1508470691 Precision Medicine Transport, Corp. Non-emergency Medical Transport (VAN) Glenview Gardens Florencia T28, Ponce, PR 00730 2020-09-04
1184241747 Edgar Luis Rodriguez Student in an Organized Health Care Education/Training Program #44 Calle Reina Isabel, Ponce, PR 00730 2020-06-30
1598381501 Yalisse Linette Rodriguez Torres Family Medicine Valle Alto 1794 Llanura, Ponce, PR 00730 2020-06-25
1043833718 Farmacia Rivera Pharmacy Urb. Santa Teresita Calle Santa Genoveva #3251, Esquina Emilio Fagot, Ponce, PR 00730 2020-05-28
1710506464 Francesca Emily Rios Miller Pharmacist Est. Del Golf Club 385, Calle Juan H. Cintron, Ponce, PR 00730 2020-04-13
1689200149 Centro Ambulatorio De Cirugia Especializada Clinic/Center 1000 Av. Tito Castro, Ponce, PR 00730 2020-03-17
1124651773 Giovanni Lugo Student in an Organized Health Care Education/Training Program Calle Reina Isabel #44, Ponce, PR 00730 2020-02-21
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417463126 Caribbean Cardiac & Thoracic Surgery Institute, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 917 Ave. Tito Castro, Torre Medica San Lucas, Suite 519, Ponce, PR 00733 2017-12-18
1669464517 Eugenio Mulero Portela Thoracic Surgery (Cardiothoracic Vascular Surgery) 917 Ave. Tito Castro, Suite 519 Torre Medica San Lucas, Ponce, PR 00733-6810 2005-08-17
1811108418 Salvador Jimenez Thoracic Surgery (Cardiothoracic Vascular Surgery) 917 Ave Tito Castro, Clinicas Externas Hospital San Lucas, Ponce, PR 00716-4717 2007-05-24
1114077021 Ernesto Rene Soltero Thoracic Surgery (Cardiothoracic Vascular Surgery) Hospital Damas, 2213 Ponce Bypass, Ponce, PR 00717 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932709805 Dr Ivan F Gonzalez-cancel, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Puerto Rico Cardiovascular Center, 1st Floor, Suite #2, San Juan, PR 00936 2020-10-29
1689207813 Bayamon Cardiovascular Surgery Services, C.s.p. Thoracic Surgery (Cardiothoracic Vascular Surgery) B20 Calle Florencia, Guaynabo, PR 00966-1719 2020-02-17
1598086357 Javier Castillo Granero Thoracic Surgery (Cardiothoracic Vascular Surgery) Km 11.7 Pr-2, Bayamon Medical Plaza, Suite 204, Bayamon, PR 00959 2010-06-16
1336381011 Cardiovascular Surgery of Pr Western Corp Thoracic Surgery (Cardiothoracic Vascular Surgery) 410 Carr 2, First Floor, Mayaguez, PR 00682-1560 2009-03-27
1518168905 Jorge L Rodriguez-pagan Thoracic Surgery (Cardiothoracic Vascular Surgery) Menonita Hosp St #14, Suite 309, Cayey, PR 00737 2007-05-31
1861550550 Luis Enrique Iguina Mella Thoracic Surgery (Cardiothoracic Vascular Surgery) Ave Jose De Diego #158, Caban Building, Suite 101, Arecibo, PR 00612 2006-12-05
1871512764 Juan Jose Hernandez-maldonado Thoracic Surgery (Cardiothoracic Vascular Surgery) 735 Ave Ponce De Leon Suite 210, Torre Medica Auxilio Mutuo, San Juan, PR 00917-5024 2006-07-19
1609807130 Recinto De Ciencias Medicas Thoracic Surgery (Cardiothoracic Vascular Surgery) Centro Medico De Pr Edif. Principal, Escuela De Medicina Apto. 29134, San Juan, PR 00936-0134 2006-07-05
1861436537 Efrain A. Defendini - Mauras Thoracic Surgery (Cardiothoracic Vascular Surgery) Cirugia Cardiovascular Rcm, Centro Cardiovascular De Pr Y El Caribe, Centro Medico, San Juan, PR 00935-0001 2006-06-15
1346283785 Elizardo Matos Cruz Thoracic Surgery (Cardiothoracic Vascular Surgery) 1000 Calle 44 Se, Rpto Metropolitano, San Juan, PR 00921-2719 2006-06-14
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City PONCE
Zip Code 00730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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