Healthcare Provider Details

I. General information

NPI: 1831997345
Provider Name (Legal Business Name): MCS LIFE INSURANCE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCS PLAZA 255 PONCE DE LEON AVENUE 9TH FLOOR
SAN JUAN PR
00917
US

IV. Provider business mailing address

PO BOX 9023547
SAN JUAN PR
00902-3547
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2500
  • Fax:
Mailing address:
  • Phone: 787-758-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. GILBERTO RAFAEL NEGRON
Title or Position: CORPORATE GOVERNANCE DIRECTOR
Credential:
Phone: 787-758-2500