MMC MED GROUP LLC (NPI# 1457916256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457916256 |
| Entity Type | Organization |
| Organization Name | MMC MED GROUP LLC |
| Practice Address |
Mayaguez Medical Center Hostos Ave Rd #2 1st Floor Ste 103 Mayaguez PR 00680 |
| Mailing Address |
Po Box 1179 Sabana Grande PR 00637 |
| Practice Telephone | 7876529200 |
| Mailing Telephone | 7878040399 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | JUAN COLON (MBR) |
| Authorized Official Telephone | 7878040399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
MAYAGUEZ MEDICAL CENTER HOSTOS AVE RD #2 1ST FLOOR STE 103 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992443 | Juan F Rodriguez Acosta | Specialist | Mayaguez Medical Center, Suite 102, Mayaguez, PR 00680 | 2006-02-21 |
| 1831690460 | West Endocrinology Specialist | Internal Medicine | Mayaguez Medical Center, Hostos Ave. 410 Suite 112, Mayaguez, PR 00680 | 2018-02-28 |
| 1124433909 | Rose Michelle Roman Torres | Internal Medicine | Mayaguez Medical Center, 410 Hostos Ave. Suite 112, Mayaguez, PR 00680 | 2014-06-30 |
| 1912311143 | Ivonne Marie Iglesias Escabi | Pediatrics | Mayaguez Medical Center, 410 Ave Hostos, Mayaguez, PR 00682 | 2014-06-16 |
| 1396182861 | Victor Fernando Nazario | Internal Medicine | Mayaguez Medical Center, 410 Hostos Ave Lobby Suite 101-n, Mayaguez, PR 00680 | 2013-05-23 |
| 1801039961 | Karla F. Velez Rivera | Internal Medicine | Mayaguez Medical Center, Hostos Ave. 410, Mayaguez, PR 00681 | 2009-04-19 |
| 1760672257 | Javier E Colon Irizarry | Urology | Mayaguez Medical Center, 410 Avenida Hostos, Mayaguez, PR 00680 | 2007-07-31 |
| 1902008352 | Hector Javier Martinez Gonzalez | Internal Medicine | Mayaguez Medical Center, Suite 114n, Mayaguez, PR 00680 | 2007-06-05 |
| 1164644290 | Nelson Valle-campos | Psychiatry & Neurology | Mayaguez Medical Center, Pr-2, Hostos Avenue, Mayaguez, PR 00681-3872 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
| 1033717343 | Yalizeth Katiuska Rivera Gonzalez | Psychologist | Carr 348 Km 7.2, Bo Rosario, Mayaguez, PR 00680 | 2020-10-09 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| 1346855863 | Victor Ramon Madera | Assisted Living Facility | Avenida Ramon Arbona 1050, Barrio Sabalos, Mayaguez, PR 00680 | 2020-09-11 |
| 1396358479 | Meddyg Group LLC | General Practice | 7 Calle Ramon Emeterio Betnaces, Esquina De Diego, Mayaguez, PR 00680 | 2020-08-28 |
| 1275146631 | Tatiana Velez-burgos | Dietitian, Registered | Rd 348 Km 3.0 Interior, Bo. Quebrada Grande, Mayaguez, PR 00680 | 2020-08-26 |
| 1962013441 | Yeileen Concepcion Hernandez | Psychologist | Edif. Centro Del Oeste, Calle Relampago #70 Oficina 104, Mayaguez, PR 00680 | 2020-08-10 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1255957908 | Alexander Enrique Benitez Rodriguez | General Practice | Carr. 106 Km. 13.8 Bo. Naranjales, Mayaguez, PR 00680 | 2020-06-18 |
| Find all providers in zip 00680 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437136 | Laura Andrea Rosado Gonzalez | Internal Medicine | Paseo Los Robles, Los Caminos, #1805, Mayaguez, PR 00682 | 2020-08-13 |
| 1427678911 | Cjt Md | Internal Medicine | #2 Calle Mendez Vigo W, Suite 3d, Mayaguez, PR 00680 | 2020-04-24 |
| 1699269787 | Alexandra Saavedra | Internal Medicine | 402 Calle Lope De Vega, Mayaguez, PR 00682-6653 | 2018-06-21 |
| 1093237786 | Melvin Daniel Rivera Carrero | Internal Medicine | Mayaguez Medical Center, 410 Hostos Ave., Graduate Medical Education, Mayaguez, PR 00680 | 2017-07-13 |
| 1154843217 | Maritsally Santiago Chaparro | Internal Medicine | Ave Hostos 410 Carretera 2, Bo Sabalos, Mayaguez, PR 00680 | 2017-07-11 |
| 1962883397 | David Badillo Md Psc | Internal Medicine | Calle 2 Km 156.7, Edif Pharmamax, Mayaguez, PR 00680 | 2015-06-11 |
| 1639578420 | Rjc Medical Services Psc | Internal Medicine | 420 Cumbres De Miradero, Mayaguez, PR 00682-7518 | 2014-08-18 |
| 1184033789 | Karla F Velez-medicina Interna Csp | Internal Medicine | 410 Ave Hostos Centro Medico, Mayaguez, PR 00681-0600 | 2014-08-07 |
| 1386054773 | Laura Aponte | Internal Medicine | 64 Calle De Diego E, Cond Centro Plaza, Suite 1, Mayaguez, PR 00680-4896 | 2014-05-06 |
| 1184048175 | Gloria Ponce Tua Medicina Interna Csp | Internal Medicine | Calle Dr Basora No 55n, Suite 204d, Mayaguez, PR 00680-4888 | 2014-02-11 |
| Find all providers in MAYAGUEZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.