Active NPI
MCV Health Group LLC
- Internal Medicine Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Custodio Rodriguez, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Isabela, PR
- NPI 1669919528
Single Specialty
-
- Student in an Organized Health Care Education/Training Program
- Mayaguez, PR
- NPI 1144919051
-
- Student in an Organized Health Care Education/Training Program
- Mayaguez, PR
- NPI 1265348999
Single Specialty
-
- Student in an Organized Health Care Education/Training Program
- Mayaguez, PR
- NPI 1790475812
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.