Healthcare Provider Details

I. General information

NPI: 1184563967
Provider Name (Legal Business Name): MM HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6184
US

IV. Provider business mailing address

PO BOX 818
CEIBA PR
00735-0818
US

V. Phone/Fax

Practice location:
  • Phone: 787-716-9137
  • Fax:
Mailing address:
  • Phone: 787-716-9137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KEYLA D CENTENO AVILES
Title or Position: PRESIDENT
Credential:
Phone: 787-716-9137