# MONDOCANO INTERNAL MEDICINE PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235543190
- **Authorized official:** DR. RAFAEL BERMUDEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 721-7973

## Contact information

- **Practice address:** CALLE WASHINGTON \# 29, ASHFORD MEDICAL CENTER SUITE 802, SAN JUAN, PR 00907-1510
- **Practice address phone:** (787) 721-7973
- **Practice address fax:** (787) 721-7973
- **Mailing address:** 1359 CALLE LUCHETTI, APT 802, SAN JUAN, PR 00907-2063
- **Mailing address phone:** (787) 721-7973
- **Mailing address fax:** (787) 721-7973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12053 | PR | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 06/18/2014