Organization Active NPI

MCV Health Group LLC

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1437029287
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCV HEALTH GROUP LLC
Practice address
18 Calle Ramon E. Betances N
Mayaguez, PR 00680-5406
Phone
(787) 652-9200
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Luis Custodio Rodriguez, M.D.NPI 1669919528
Title
Owner
Phone
(787) 231-7686

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

18 Calle Ramon E. Betances N
Mayaguez, PR 00680-5406

Mailing address

3106 Calle Bermuda
Urb Islazul
Isabela, PR 00662-6354

Other practice location 1

550 Calle Concepcion Vera
Moca, PR 00676-5005
Phone (787) 877-8000

Other practice location 2

410 Ave Hostos Carr #2 km 157
Mayaguez, PR 00682-1560
Phone (787) 652-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229000891 PR Part B Supplier - Clinic/Group Practice 9830685957 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1437029287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 CALLE BERMUDA",
            "address_2": "URB ISLAZUL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE RAMON E. BETANCES N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805406",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Calle Concepcion Vera",
            "address_purpose": "LOCATION",
            "city": "Moca",
            "state": "PR",
            "postal_code": "006765005",
            "country_code": "US",
            "telephone_number": "787-877-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Ave Hostos Carr #2 km 157",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006821560",
            "country_code": "US",
            "telephone_number": "787-652-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCV HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "CUSTODIO RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-231-7686",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.