Provider Demographics
NPI:1861238602
Name:MMR MEDICAL SERVICES AND MORE LLC MARISELA MARTINEZ RIVERA SOLE MBR
Entity type:Organization
Organization Name:MMR MEDICAL SERVICES AND MORE LLC MARISELA MARTINEZ RIVERA SOLE MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARISELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL PRACTICE
Authorized Official - Phone:787-210-1124
Mailing Address - Street 1:32 PASEO FELICIDAD
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3750
Mailing Address - Country:US
Mailing Address - Phone:787-210-1124
Mailing Address - Fax:
Practice Address - Street 1:B11 CALLE 2 VILLA REAL
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4507
Practice Address - Country:US
Practice Address - Phone:787-210-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service