Healthcare Provider Details

I. General information

NPI: 1144136821
Provider Name (Legal Business Name): MST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 2 BOX 13968
GURABO PR
00778-9617
US

IV. Provider business mailing address

1000 CARR 788 APT 228
CAGUAS PR
00725-8821
US

V. Phone/Fax

Practice location:
  • Phone: 787-368-0331
  • Fax:
Mailing address:
  • Phone: 787-368-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name: MARIBEL SANTANA
Title or Position: CEO
Credential:
Phone: 787-368-0331