MMV Internal Medicine P.S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

7568 Issued in PR

Legal business name

MMV INTERNAL MEDICINE P.S.C.

Practice address

143 Ave Univ Interamericana
San German, PR 00683-4320

Phone

(787) 892-6060

Fax

(787) 264-5755

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By 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

Mrs. Maritza Martinez Vargas, MDNPI 1972597557

Title

President

Phone

(787) 892-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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.

• Maritza Martinez Vargas

  • Internal Medicine Physician
  • NPI 1972597557

  PR

  Medicare reassignment NPD Authorized official
• Carlos Alberto Cruz, MD

  • General Practice Physician
  • San German, PR
  • NPI 1629683057
  NPD
• Bryan Leslie Pagan Rivera, M.D.

  • Nephrology Physician
  • Mayaguez, PR
  • NPI 1760846497

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1649609470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830326",
            "telephone_number": "787-892-6060",
            "fax_number": "787-264-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834320",
            "telephone_number": "787-892-6060",
            "fax_number": "787-264-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMV INTERNAL MEDICINE P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ VARGAS",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "7568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "7568",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene J Millan, O.T.
• Ingrid M Millan, DC
• Millenial Medical Group
• Miranda Medical Services LLC
• Jorge Miranda, M.D.
• Ramon Amado Montalvo-Alvarez, MD
• Nicolle M Morales
• Sylvia I Morales, TS CLINIC
• Municipality of San German
• Municipio de San German

• Primary Care Clinic/Center in San German, PR
• Providers in San German, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.