Provider Demographics
NPI:1407680259
Name:MP MEDICALS LLC
Entity type:Organization
Organization Name:MP MEDICALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARRERO PEREA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-479-9356
Mailing Address - Street 1:URB. ALTURAS DE BORINQUEN GARDENS
Mailing Address - Street 2:CALLE MIDDLE LL2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-479-9356
Mailing Address - Fax:787-919-0179
Practice Address - Street 1:371 CALLE DE DIEGO
Practice Address - Street 2:HOSPITAL SAN FRANCISCO SUITE 510
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00962
Practice Address - Country:US
Practice Address - Phone:787-767-2929
Practice Address - Fax:787-919-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty