JMMC Medical Group, CP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

14334 Issued in PR

Legal business name

JMMC MEDICAL GROUP, CP

Practice address

2U5 Ave. Laurel Local 1
Urb. Lomas Verdes
Bayamon, PR 00957

Phone

(787) 604-7776

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mayra Mercedes Casta, MD

Title

Vicepresident

Phone

(787) 604-7776

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1215212469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2M8 AVE. LAUREL PMB 202",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2U5 AVE. LAUREL LOCAL 1",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-604-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMMC MEDICAL GROUP, CP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "CASTA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "787-604-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "14334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.