Organization Active NPI

Management & Dvelopment Group, LLC.

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1891084158
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MANAGEMENT & DVELOPMENT GROUP, LLC.
Practice address
1572 Calle Bori
San Juan, PR 00927-6113
Phone
(787) 200-0675
Fax
(787) 200-0698
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mr. Adrian Fernandez
Title
Manager
Phone
(787) 200-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1572 Calle Bori
San Juan, PR 00927-6113

Mailing address

PO Box 363175
San Juan, PR 00936-3175
Phone (787) 200-0675

National Provider Directory

National Provider Directory

Locations

1572 Calle Bori
San Juan, PR 00927
Phone (787) 200-0675

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1891084158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363175",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363175",
            "telephone_number": "787-200-0675",
            "fax_number": "787-200-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-200-0675",
            "fax_number": "787-200-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT & DVELOPMENT GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-200-0675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.