Provider Demographics
NPI:1871175372
Name:MVP HEALTH & MEDICAL GROUP , LLC.
Entity type:Organization
Organization Name:MVP HEALTH & MEDICAL GROUP , LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:MIYADY
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZQUEZ PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-632-9786
Mailing Address - Street 1:CARRETERA 506 KM 1
Mailing Address - Street 2:TORRE SAN CRISTOBAL STE 209
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:098-878-7259
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 506 KM 1
Practice Address - Street 2:TORRE SAN CRISTOBAL STE 209
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:098-878-7259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty