MDM Group

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1386714251 Issued in PR

Legal business name

MDM GROUP

Practice address

1225 Ave Ponce de Leon
Vig Tower Suite 801
Santurce, PR 00907-3907

Phone

(787) 721-0274

Fax

(787) 757-8969

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Juan Nieves

Title

President

Phone

(787) 721-0274

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1346502630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19718",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101718",
            "telephone_number": "787-721-0274",
            "fax_number": "787-757-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AVE PONCE DE LEON",
            "address_2": "VIG TOWER SUITE 801",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009073907",
            "telephone_number": "787-721-0274",
            "fax_number": "787-757-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-0274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "1386714251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan F Marrero, D.M.D.
• Esteban Martinez Lugo
• Jaime Martinez-Souss, M.D.
• Jose L Martinez, MD
• Master Orthopedic Inc
• Medical Services Unlimited
• Medscan, PSC
• Melissa Mendez Gutierrez, D.C.
• Roberto A Menjivar, M.D
• Paola Christina Mercado Millan, MD

• Case Manager/Care Coordinator in Santurce, PR
• Providers in Santurce, PR by specialty
• Case Manager/Care Coordinator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.