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General NPI Number Information
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NPI Number | 1366380867
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Entity Type | Organization
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Legal Business Name | MC CLINIC LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 55 CALLE ESTRELLA N STE 1
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City | CAMUY
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State | PR
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Zip | 00627-2544
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Country | US
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Telephone | 787-898-5530
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Fax |
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Provider Business Mailing Address
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Address Line | URB BELMONTE CALLE SEGOVIA 99
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCOS E CHACON CRUZ
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Credential | MD
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Telephone | 939-219-4836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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