Provider Demographics
NPI:1730411380
Name:HEART RHYTHM MANAGEMENT PSC
Entity type:Organization
Organization Name:HEART RHYTHM MANAGEMENT PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:SOTOMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-763-4160
Mailing Address - Street 1:PO BOX 363047
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3047
Mailing Address - Country:US
Mailing Address - Phone:787-763-4160
Mailing Address - Fax:787-763-4162
Practice Address - Street 1:AVE AMERICO MIRANDA, ESQ CENTRO MEDICO
Practice Address - Street 2:CENTRO CARDIOVASCULAR DE PR, SUITE 10
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00924-0000
Practice Address - Country:US
Practice Address - Phone:787-763-4160
Practice Address - Fax:787-763-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16026261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCF273AMedicare PIN