Organization Active NPI

MCL P.S.C.

  • Medical Specialty Clinic/Center
  • Vega Alta, PR
National Provider Identifier
1811305980
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
16913 Issued in PR
Legal business name
MCL P.S.C.
Practice address
#1 Santa Rita Marginal
Caribe Medical Plaza Suite 207
Vega Alta, PR 00692
Phone
(787) 361-4420
NPI assigned
Aug 1, 2014
Last updated
Nov 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Authorized official

Name
Dr. Maria C. Cruz-Lartigaut, M.D.NPI 1811019532
Title
President
Phone
(787) 361-4420

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 16913 PR Primary

Addresses

Primary practice location

#1 Santa Rita Marginal
Caribe Medical Plaza Suite 207
Vega Alta, PR 00692

Mailing address

PO Box 2271
Manati, PR 00674-2271
Phone (787) 361-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105001773 PR Part B Supplier - Clinic/Group Practice 6608199302 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Alta, PR

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480118400000",
    "number": "1811305980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2271",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742271",
            "telephone_number": "787-361-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 SANTA RITA MARGINAL",
            "address_2": "CARIBE MEDICAL PLAZA SUITE 207",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-361-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCL P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2016-11-26",
        "status": "A",
        "authorized_official_last_name": "CRUZ-LARTIGAUT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-361-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "16913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.