Healthcare Provider Details

I. General information

NPI: 1740428598
Provider Name (Legal Business Name): CMF MEDICAL GROUP PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BARBOSA STREET
CAYEY PR
00736
US

IV. Provider business mailing address

PO BOX 1267
CAYEY PR
00737-1267
US

V. Phone/Fax

Practice location:
  • Phone: 787-738-3088
  • Fax: 309-410-9526
Mailing address:
  • Phone: 787-738-3088
  • Fax: 309-410-9526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAYRA L. LOPEZ ORTIZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-738-3088