Organization Active NPI

MCM Derm LLC

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1578476586
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MCM DERM LLC
Practice address
369 Calle de Diego
Suite 403 Torre San Francisco
San Juan, PR 00923-3155
Phone
(787) 998-3400
NPI assigned
Sep 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Mariana Cruz Manzano, MDNPI 1760821565
Title
Dra
Phone
(787) 998-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

369 Calle de Diego
Suite 403 Torre San Francisco
San Juan, PR 00923-3155

Mailing address

369 Calle de Diego
Suite 403 Torre San Francisco
San Juan, PR 00923-3155
Phone (787) 998-3400

Practitioners & affiliated clinicians

Practitioners 1

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": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1578476586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 403 TORRE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233155",
            "telephone_number": "787-998-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "SUITE 403 TORRE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233155",
            "telephone_number": "787-998-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM DERM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "CRUZ MANZANO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DRA",
        "authorized_official_telephone_number": "787-998-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.