Medicina Interna LMG, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

License

11063 Issued in PR

Legal business name

MEDICINA INTERNA LMG, CSP

Practice address

Ave. Interamericana #153
Esq Chilin Quinones Edif San Jose #3
San German, PR 00683

Phone

(787) 892-4357

Fax

(787) 659-7120

NPI assigned

Dec 6, 2010

Last updated

Apr 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis M MercadoNPI 1144227869

Title

President

Phone

(787) 892-4357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis M Mercado, MD

  • Internal Medicine Physician
  • San German, PR
  • NPI 1144227869
  Medicare reassignment NPD Authorized official
• Arlene J Millan, O.T.

  • Hand Occupational Therapist
  • San German, PR
  • NPI 1568469427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1073816575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831895",
            "telephone_number": "787-892-4357",
            "fax_number": "787-659-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. INTERAMERICANA #153",
            "address_2": "ESQ CHILIN QUINONES EDIF SAN JOSE #3",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-4357",
            "fax_number": "787-659-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA INTERNA LMG, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-4357",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Matta - Rodriguez, M.D.
• Med Heart Medical Equipment Corp
• Med Heart Medical Equipment Inc
• Ramon Medero-Roldan, M.D.
• Medicina Interna Ambulatoria Y Hospitalaria
• Idalis Joan Medina Ayala
• Enrique Medina, M.D.
• Ingrid Mendez - Altieri, PSY.D.
• Gabriela Mendez Flores, MSW
• Jose Rafael Mendez Lopez, MD

• Specialist in San German, PR
• Providers in San German, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.