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General NPI Number Information
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NPI Number | 1568355410
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Entity Type | Organization
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Legal Business Name | MM HEALTH SERVICES LLC. - HOPE
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3 CALLE FONT MARTELO E
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City | HUMACAO
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State | PR
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Zip | 00791-3617
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Country | US
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Telephone | 787-656-2427
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 818
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City | CEIBA
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State | PR
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Zip | 00735-0818
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Country | US
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Telephone | 787-716-9137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEYLA D CENTENO AVILES
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Credential | PRESIDENT
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Telephone | 787-716-9137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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