# MDC INTERNAL MEDICINE PSC

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

## Provider details

- **NPI number:** 1659791606
- **Authorized official:** DR. MIGUEL D DE LA CRUZ MD (PRESIDENT)
- **Authorized official phone:** (787) 934-1393

## Contact information

- **Practice address:** B-1 CALLE SANTA CRUZ, CARIMED PLAZA SUITE 201, BAYAMON, PR 00961-6943
- **Practice address phone:** (787) 294-9955
- **Mailing address:** AA18 CAMINO PANORAMICO, ALTAVILLA, TRUJILLO ALTO, PR 00976-6088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 05/12/2014