Mona Med Group Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D2021126 Issued in PR

Legal business name

MONA MED GROUP INC.

Practice address

430 Calle Ismael Rivera
San Juan, PR 00915-3312

Phone

(787) 662-7887

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By 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

Eduard Abdulin

Title

Owner

Phone

(787) 662-7887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1689969123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CALLE ISMAEL RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153312",
            "telephone_number": "787-662-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CALLE ISMAEL RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153312",
            "telephone_number": "787-662-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA MED GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "ABDULIN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-662-7887"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D2021126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Angeles Molina, MD
• Yarimar Molina
• Luis F Molinari Castello, MD
• Amparo Molinary, OTR/L
• Enid Molinary, MD
• Mariola Monagas, M.D.
• Crystal Marie Monclova Rodriguez, LND, CMGI, CND
• Zaida Monclova, BSN
• Lucas Franco Mondo Ruiz, BA, BS
• Mondocano Internal Medicine PSC

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.