MAURO JOSE TAVERAS ALCANTARA M.D. NPI 1558898064

NPI Information

  • NPI: 1558898064
  • Provider Name: MAURO JOSE TAVERAS ALCANTARA, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1609 W 40TH AVE STE 403
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 541-4285

Map and Directions

Get Directions

NPI Details

Mauro Jose Taveras Alcantara, M.D. is an interventional cardiology internal medicine in Pine Bluff, AR with 9 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Mauro Jose Taveras Alcantara, M.D. NPI is 1558898064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1609 W 40TH AVE STE 403
PINE BLUFF, AR
ZIP 71603-365
Phone: (870) 541-4285
Fax: (870) 541-4290

The NPI 1558898064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2017 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease036.152621ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207RI0011XInternal MedicineInterventional CardiologyE-17813ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI