Active NPI
MDC Internal Medicine PSC
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1659791606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MDC INTERNAL MEDICINE PSC
- Practice address
- B-1 Calle Santa Cruz
Carimed Plaza Suite 201
Bayamon, PR 00961-6943 - Phone
- (787) 294-9955
- NPI assigned
- Apr 17, 2014
- 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
- Dr. Miguel D De la Cruz, MD
- Title
- President
- Phone
- (787) 934-1393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
B-1 Calle Santa Cruz
Carimed Plaza Suite 201
Bayamon, PR 00961-6943
Mailing address
Aa18 Camino Panoramico
Altavilla
Trujillo Alto, PR 00976-6088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bayamon, PR
- NPI 1457407249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399852800000",
"number": "1659791606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AA18 CAMINO PANORAMICO",
"address_2": "ALTAVILLA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B-1 CALLE SANTA CRUZ",
"address_2": "CARIMED PLAZA SUITE 201",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616943",
"telephone_number": "787-294-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDC INTERNAL MEDICINE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-05-12",
"status": "A",
"authorized_official_last_name": "DE LA CRUZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-934-1393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.