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Cck Medical Csp — NPI 1407931272, San Juan, PR | NPI Central

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NPI 1407931272

OrganizationActive

Cck Medical Csp

NPI 1407931272 · Cardiovascular Disease Physician · San Juan, PR

Provider details

NPI number: 1407931272
Entity type: Organization
Primary specialty: Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Eddy Mieses, President(787) 761-1555
License: 11735 (PR)

Specialties & taxonomies

Cardiovascular Disease PhysicianPrimary207RC0000XLicense 11735 (PR)
Allopathic & Osteopathic Physicians

Practice location

D3 Frontera Ave Villa Andalucia

San Juan, PR 00926

Phone: (787) 761-1555

More PR providers

Mailing address

Po Box 270011

San Juan, PR 00927-0011

Other names (DBA / former)

Other name: Professional Services Corporation

Registry dates

Enumerated: 2006-10-27
Last updated: 2012-12-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.