CMAG LLC NPI 1760954283

NPI Information

  • NPI: 1760954283
  • Provider Name: CMAG LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: CMAG LLC
  • Address: 1225 PONCE DE LEON AVE
    VIG TOWER SUITE 702
    SAN JUAN, PR
    ZIP 00907
  • Phone: (787) 479-6620

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NPI Details

CMAG LLC is a general practice in San Juan, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CMAG LLC NPI is 1760954283. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cmag Llc.

The provider's business location address is:

1225 PONCE DE LEON AVE
VIG TOWER SUITE 702
SAN JUAN, PR
ZIP 00907
Phone: (787) 479-6620
Fax: (877) 777-3208

The provider's authorized official is William De Gracia .
The authorized official title is President and has the following contact phone number (787) 479-6620.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 10/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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