NPIMap

Organization Active NPI

MMCW Family Medical Center LLC

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1649948654
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MMCW FAMILY MEDICAL CENTER LLC
Practice address
Ave Hosto 410 Bo Sabalo
Mayaguez, PR 00680
Phone
(787) 652-9200
NPI assigned
Sep 3, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Mr. Ariel Cubero
Title
Gerente
Phone
(787) 505-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

Ave Hosto 410 Bo Sabalo
Mayaguez, PR 00680

Mailing address

PO Box 600
Mayaguez, PR 00681-0600
Phone (787) 505-7229

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acubero@mmcaol.com

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1649948654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810600",
            "telephone_number": "787-505-7229",
            "fax_number": "787-621-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTO 410 BO SABALO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMCW FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "CUBERO",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "GERENTE",
        "authorized_official_telephone_number": "787-505-7229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acubero@mmcaol.com",
            "affiliation": "N",
            "address_1": "Ave. Hosto 410 BO Sabalo",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 3, 2021; 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.