Active NPI
MCM Derm LLC
- Dermatology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariana Cruz Manzano, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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.
-
- Dermatology Physician
- San Juan, PR
- NPI 1760821565
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.