Look up the most recent NPI and PECOS records

Mc Medical Institute,Psc

Pediatrics

Allopathic & Osteopathic Physicians

Torre San Pablo Ste 605, Calle Santa Cruz, Bayamon, PR 00961-7031

PECOS Enrollment

Based on the most recent information from CMS, provider Mc Medical Institute,Psc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:51 AM.

Profile Details

Provider ID
1811177157
Provider Type
Organization
Full Name
Mc Medical Institute,Psc

Subpart
No
Enumeration Date
11/4/2007
Last Updated
11/4/2007

Contact Information

Practice Location

Torre San Pablo Ste 605, Calle Santa Cruz, Bayamon, PR 00961-7031

(787) 299-8931

Unlisted Fax

Mailing Location

PO Box 1759, Bayamon, PR 00960-1759

(787) 299-8931

Unlisted Fax

Authorized Official

Miranda, Maria L (President)

(787) 299-8931

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 14533 Puerto Rico

Mc Medical Institute,Psc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Miranda, William

Lebron Gonzalez, Carmen Mabel

Lecumberry, Maria Antonia

Bosch-Gonsalvez, Enrique Francisco

Alberro, Jose

Torres Suarez, Luis Angel

Cotto, Carmen Waleska

Ponce Paredes, Guillermo

Suarez, Carmen I

Rodriguez, Rafael