Provider Demographics
NPI:1609610021
Name:MCS ADVANTAGE, INC.
Entity type:Organization
Organization Name:MCS ADVANTAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE GOVERNANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-758-2500
Mailing Address - Street 1:PO BOX 191720
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1720
Mailing Address - Country:US
Mailing Address - Phone:787-758-2500
Mailing Address - Fax:
Practice Address - Street 1:255 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-1955
Practice Address - Country:US
Practice Address - Phone:787-758-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization