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INTERVENTIONAL CARDIOLOGY GROUP LLC
NPI 1487348520
General Practice in Juana Diaz, PR

Active since June 02, 2023
101 CALLE COMERCIO, JUANA DIAZ, PR 00795(787) 260-2334(787) 260-1846 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Jun 2, 2023 (2 updates tracked since 2023).

About Interventional Cardiology Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL CARDIOLOGY GROUP LLC (NPI 1487348520) is a healthcare organization registered as a general practice in Juana Diaz, Puerto Rico and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Ponce and lists Edgardo Bermudez Moreno, Presidente, as its authorized official.

NPPES Registry Identity

NPI1487348520
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTERVENTIONAL CARDIOLOGY GROUP LLC
Location Address101 CALLE COMERCIOJuana Diaz, PR 00795-1647
Mailing Address909 Ave Tito Castro Ste 712 Torre Medica San LucaPonce, PR 00716-4722 · (787) 813-0550
Phone(787) 260-2334
Fax(787) 260-1846
Organization SubpartNo
Authorized OfficialEdgardo Bermudez MorenoPresidente · (787) 260-2334
Enumeration DateJune 2, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1487348520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Location 1

Location 1909 Ave Tito Castro Ste 712Ponce, PR 00716-4722 · Phone (787) 813-0550

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Cardiology Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Interventional Cardiology Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Edgardo Bermudez Moreno, MD
Interventional Cardiology
NPI 1891746624
SAINT LUKES MEMORIAL HOSPITAL 909 AVE TITO CASTRO CARR 14
Ponce, PR 00731
(787) 813-0550
✔ PECOS✔ Accepts Medicare
David Heredia Sierra, MD
Interventional Cardiology
NPI 1700293990
CALLE HOSTOS 111 LOCAL 1A 1B
Juana Diaz, PR 00795
(787) 676-5782
✔ PECOS✔ Accepts Medicare
Ariana Perez Rivera
General Practice
NPI 1235996935
CARR 152 KM 2.3 BO QUEBRADILLAS
Barranquitas, PR 00794
(787) 857-8383
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interventional Cardiology Group LLC's NPI number?

The NPI number for Interventional Cardiology Group LLC is 1487348520. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Interventional Cardiology Group LLC located?

Interventional Cardiology Group LLC is located at 101 Calle Comercio, Juana Diaz, PR 00795. The listed phone number is (787) 260-2334.

What is Interventional Cardiology Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Interventional Cardiology Group LLC enrolled in Medicare?

Yes. Interventional Cardiology Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Cardiology Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Interventional Cardiology Group LLC, in General Practice and Interventional Cardiology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Interventional Cardiology Group LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.