Organization Active NPI

MVP Health & Medical Group , LLC.

  • Internal Medicine Physician
  • Coto Laurel, PR
National Provider Identifier
1871175372
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MVP HEALTH & MEDICAL GROUP , LLC.
Practice address
Carretera 506 KM 1
Torre San Cristobal Ste 209
Coto Laurel, PR 00780
Phone
(098) 878-7259
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Miyady Velazquez Pagan, PHD
Title
Presidenta
Phone
(787) 632-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Carretera 506 KM 1
Torre San Cristobal Ste 209
Coto Laurel, PR 00780

Mailing address

Carretera 506 KM 1
Torre San Cristobal Ste 209
Coto Laurel, PR 00780
Phone (098) 878-7259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718004633 PR Part B Supplier - Clinic/Group Practice 3971049578 Receives reassigned benefits from 1 practitioner
Practice locations: Coto Laurel, 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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1871175372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 506 KM 1",
            "address_2": "TORRE SAN CRISTOBAL STE 209",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "098-878-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 506 KM 1",
            "address_2": "TORRE SAN CRISTOBAL STE 209",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "098-878-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP HEALTH & MEDICAL GROUP , LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ PAGAN",
        "authorized_official_first_name": "MIYADY",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-632-9786",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.