Mt Medical Group, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MT MEDICAL GROUP, LLC

Practice address

Carr 2 KM 118.3 Int
18 Reparto Riollano
Aguadilla, PR 00603-0060

Phone

(787) 245-8883

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By 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. Miguel Angel Diaz Pares, MD

Title

President

Phone

(787) 245-8883

Specialties & licenses 3

Addresses

Other names 1

• MT MEDICAL GROUP, LLC Other name

Electronic endpoints 1

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1518600196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620488",
            "telephone_number": "787-328-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 118.3 INT",
            "address_2": "18 REPARTO RIOLLANO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030060",
            "telephone_number": "787-245-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ PARES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-245-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aguadilla",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Carr 2 Km 118.3 Int",
            "address_2": "18 Reparto Riollano",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MT MEDICAL GROUP, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Morales
• Olga M. Morales, PHARMACIST
• Grisely Moro Acevedo, MD
• Vivian Moro, RPH
• Ms Neurology
• Municipio de Aguadilla
• Jarlyn Muniz Cortes
• Yuliana E Muniz Hernandez
• Myrna Marielly Muniz Ortega, MD
• Luis Josue Muniz-Hernandez

• In Home Supportive Care Agency in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• In Home Supportive Care Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.