Organization Active NPI

MCM Cardiology LLC

  • Cardiovascular Disease Physician
  • Guaynabo, PR
National Provider Identifier
1235900119
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MCM CARDIOLOGY LLC
Practice address
101 Ave San Patricio Ste 1260
Guaynabo, PR 00968-3059
Phone
(787) 272-2010
NPI assigned
Jan 10, 2024
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Melissa M Ruiz-Rodriguez, MDNPI 1700299302
Title
Administrator
Phone
(787) 272-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

101 Ave San Patricio Ste 1260
Guaynabo, PR 00968-3059

Mailing address

101 Ave San Patricio Ste 1260
Guaynabo, PR 00968-3059
Phone (787) 272-2010

Other practice location 1

101 Ave San Patricio Ste 1280
Guaynabo, PR 00968-3061
Phone (787) 272-2083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710001222 PR Part B Supplier - Clinic/Group Practice 6608380639 Receives reassigned benefits from 4 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

101 Ave San Patricio
Ste 1260
Guaynabo, PR 00968
Phone (787) 272-2010

101 Ave San Patricio
Ste 1280
Guaynabo, PR 00968
Phone (787) 272-2083

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1235900119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 1260",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683059",
            "telephone_number": "787-272-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 1260",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683059",
            "telephone_number": "787-272-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ave San Patricio Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009683061",
            "country_code": "US",
            "telephone_number": "787-272-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCM CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "RUIZ-RODRIGUEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-272-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.