Provider Demographics
NPI:1134761786
Name:CARDIOVASCULAR HEALTH CENTER PLLC
Entity type:Organization
Organization Name:CARDIOVASCULAR HEALTH CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-372-8270
Mailing Address - Street 1:4211 HOSPITAL ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39581-5310
Mailing Address - Country:US
Mailing Address - Phone:228-372-8270
Mailing Address - Fax:228-372-8271
Practice Address - Street 1:4211 HOSPITAL ST STE 202
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39581-5310
Practice Address - Country:US
Practice Address - Phone:228-372-8270
Practice Address - Fax:228-372-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty