CCK MEDICAL CSP – NPI #1407931272
Internal Medicine

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.

CCK MEDICAL CSP is a provider located in SAN JUAN, PR. NPPES has assigned the NPI number 1407931272 to CCK MEDICAL CSP on October 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CCK MEDICAL CSP is also known by the name PROFESSIONAL SERVICES CORPORATION. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 14 years ago on Dec 06, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCK MEDICAL CSP below.

NPI Profile for
CCK MEDICAL CSP

NPI Number
1407931272
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCK MEDICAL CSP
Other Name: PROFESSIONAL SERVICES CORPORATION
Primary location
D3 FRONTERA AVE VILLA ANDALUCIA
SAN JUAN, PR 00926
Phone: (787) 761-1555 Fax:
Mailing address
PO BOX 270011
SAN JUAN, PR 00927-0011
Phone: (787) 761-1555 Fax: (787) 292-7260
Organization Subpart
No
Authorized Official
EDDY MIESES
PRESIDENT
Phone: (787) 761-1555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
PR 11735

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.