Provider Demographics
NPI:1003616244
Name:MM HEALTH SERVICES LLC - LABORATORIO
Entity type:Organization
Organization Name:MM HEALTH SERVICES LLC - LABORATORIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CENTENO AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-716-9137
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-0818
Mailing Address - Country:US
Mailing Address - Phone:787-716-9137
Mailing Address - Fax:
Practice Address - Street 1:108 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4060
Practice Address - Country:US
Practice Address - Phone:787-851-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MM HEALTH SERVICES - LABORATORIO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory