MMC Medical Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MMC MEDICAL CENTER, INC.

Practice address

1698 Diane Ter
Deltona, FL 32725-4530

Phone

(386) 456-6550

Fax

(386) 456-6595

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Maria Margarita Castro Gonzalez, MD

Title

Owner/President

Phone

(386) 456-6550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1215529102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3668 HOLLYWOOD PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327667065",
            "telephone_number": "386-456-6550",
            "fax_number": "386-456-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 DIANE TER",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254530",
            "telephone_number": "386-456-6550",
            "fax_number": "386-456-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "CASTRO GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "386-456-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.