NPIMap

Organization Active NPI

Mca Health Group, LLC

  • Preferred Provider Organization
  • Bayamon, PR
National Provider Identifier
1164781357
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
MCA HEALTH GROUP, LLC
Practice address
Calle Santa Cruz #20
Bayamon, PR 00961
Phone
(787) 778-0315
Fax
(787) 778-0330
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mr. Omar Abdiel Candelas, CPA
Title
Finance VP
Phone
(787) 778-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

Calle Santa Cruz #20
Bayamon, PR 00961

Mailing address

PO Box 6598
Bayamon, PR 00960-5598
Phone (787) 778-0315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1164781357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6598",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605598",
            "telephone_number": "787-778-0315",
            "fax_number": "787-778-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #20",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-778-0315",
            "fax_number": "787-778-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCA HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "CANDELAS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "ABDIEL",
        "authorized_official_title_or_position": "FINANCE VP",
        "authorized_official_telephone_number": "787-778-0315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.