Millenial Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILLENIAL MEDICAL GROUP

Practice address

199 Calle Gran Bretana
San German, PR 00683-3517

Phone

(787) 477-3507

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By 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

Dr. Brian Gonzalez, MD, MHA

Title

Owner

Phone

(787) 477-3507

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Brian Gonzalez Sanabia, MD, MHA

  • Cardiovascular Disease Physician
  • Mayaguez, PR
  • NPI 1437649860

  Internal Medicine

  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1982270526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CALLE GRAN BRETANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006833517",
            "telephone_number": "787-477-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CALLE GRAN BRETANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006833517",
            "telephone_number": "787-477-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-477-3507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MHA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mmedicalg@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "message",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mmedicalg@gmail.com",
            "address_1": "199 Calle Gran Bretana",
            "city": "San German",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006833517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nichole Andree Mercado, LCDA.
• Jousen Amador Merced Colon, PHARMD
• MGC Corp. (life line ambulance)
• Arlene J Millan, O.T.
• Ingrid M Millan, DC
• Miranda Medical Services LLC
• Jorge Miranda, M.D.
• MMV Internal Medicine P.S.C.
• Ramon Amado Montalvo-Alvarez, MD
• Nicolle M Morales

• Internal Medicine Physician in San German, PR
• Providers in San German, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.