MDM GROUP
NPI 1346502630
Case Manager/Care Coordinator in Santurce, PR

NPI Status: Active since June 12, 2012

Contact Information

1225 AVE PONCE DE LEON
VIG TOWER SUITE 801
SANTURCE, PR
ZIP 00907
Phone: (787) 721-0274
Fax: (787) 757-8969

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About MDM GROUP

This page provides the complete NPI Profile along with additional information for Mdm Group, a provider established in Santurce, Puerto Rico operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1346502630 assigned on June 2012. The practitioner's primary taxonomy code is 171M00000X with license number 1386714251 (PR). The provider is registered as an organization and their NPI record was last updated 13 years ago. Mdm Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Juan Nieves (President)

NPI
1346502630
Provider Name
MDM GROUP
Entity Type
Organization
Location Address
1225 AVE PONCE DE LEON VIG TOWER SUITE 801 SANTURCE, PR 00907
Location Phone
(787) 721-0274
Location Fax
(787) 757-8969
Mailing Address
PO BOX 19718 SAN JUAN, PR 00910
Mailing Phone
(787) 721-0274
Mailing Fax
(787) 757-8969
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2012
Last Update Date
06-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License No.
1386714251
License State
PR
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JUAN NIEVES

Authorized Official Title
PRESIDENT
Authorized Official Phone
(787) 721-0274

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346502630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386100466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 0 + 0 + 4 + 6 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1346502630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639551104ALLIANCE HEALTH COMPANY
Organization
Clinic/Center (Physical Therapy)1225 AVE PONCE DE LEON SUITE 702
SAN JUAN, PR 00907
(787) 723-1024
1386366631 STEPHANIE MOJENA RODRIGUEZ PSYD
Individual
Psychologist (Clinical)1225 AVE PONCE DE LEON
SAN JUAN, PR 00907
(939) 545-8880
1952139289MINDFUL RECOVERY CENTER, LLC
Organization
Clinic/Center (Adult Mental Health)1225 AVE PONCE DE LEON
SAN JUAN, PR 00907
(939) 545-8880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346502630, enumerated in the NPI registry as an "organization" on June 12, 2012

The provider is located at 1225 Ave Ponce De Leon Vig Tower Suite 801 Santurce, Pr 00907 and the phone number is (787) 721-0274

This medical organization specializes in Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on June 12, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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