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NPI 1881614709 · live from the CMS NPI Registry

Midamerica Cardiovascular Institute P.C.

Internal Medicine, Cardiovascular Disease in Omaha, NE. National Provider Identifier 1881614709, active.

NPI record

NPI1881614709 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location8552 Cass St Ste 201, Omaha, NE 68114
Practice phone402-393-8443
EnumeratedJuly 21, 2006
Last updatedJune 11, 2014
Authorized officialJuan Vazquez-Bauza, President

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X19943 (NE)
Internal Medicine, Cardiovascular Disease207RC0000X20956 (NE)
Nurse Practitioner, Adult Health363LA2200X110706 (NE)
Nurse Practitioner, Family363LF0000X110198 (NE)
Internal Medicine, Cardiovascular Disease primary207RC0000X19950 (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.