Mondocano Internal Medicine PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12053 Issued in PR

Legal business name

MONDOCANO INTERNAL MEDICINE PSC

Practice address

Calle Washington # 29
Ashford Medical Center Suite 802
San Juan, PR 00907-1510

Phone

(787) 721-7973

Fax

(787) 721-7973

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By 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. Rafael Bermudez, MDNPI 1285733691

Title

President

Phone

(787) 721-7973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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.

• Rafael R. Bermudez, M.D.

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1285733691
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1235543190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 CALLE LUCHETTI",
            "address_2": "APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072063",
            "telephone_number": "787-721-7973",
            "fax_number": "787-721-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE WASHINGTON # 29",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-721-7973",
            "fax_number": "787-721-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDOCANO INTERNAL MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-7973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Med Group Inc.
• Mariola Monagas, M.D.
• Crystal Marie Monclova Rodriguez, LND, CMGI, CND
• Zaida Monclova, BSN
• Lucas Franco Mondo Ruiz, BA, BS
• Josue Adiel Monge Estrada
• Brian Andre Monge-Barrios
• Carlos M Mongil, DVM, DIP. ACVS
• Maria A Mongil, RD
• Monica G Rodriguez Gynecology LLC

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.