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General NPI Number Information
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NPI Number | 1801622774
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Entity Type | Organization
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Legal Business Name | MM HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 108 CALLE MUNOZ RIVERA
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City | CABO ROJO
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State | PR
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Zip | 00623-4060
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Country | US
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Telephone | 787-716-9137
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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 |
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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