Active NPIOrganization

Mjom ENT LLC

Otolaryngology in San Juan, Puerto Rico

NPI Number1164379111
Practice location
1789 Carr 21 Ste 202, San Juan, PR 00921-3335
Fax
—
Last updated
March 10, 2026

Mjom ENT LLC is a healthcare organization based in San Juan, PR. Mjom ENT LLC practices in San Juan, PR. The NPI Number for Mjom ENT LLC is 1164379111. The current practice location address for Mjom ENT LLC is 1789 Carr 21 Ste 202, San Juan, PR 00921-3335 and can be reached out via phone at 787-679-6513.

Provider Profile Details

NPI Number
1164379111
Provider Name
Mjom ENT LLC
Provider Entity Type
Organization
Address
1789 Carr 21 Ste 202, San Juan, PR 00921-3335
Phone Number
787-679-6513
Primary Taxonomy
Otolaryngology · 207Y00000X
Organization Subpart
No
Authorized Official
Dr. Mariana J Ortiz Martinez, MD · President · 787-679-6513
Provider Enumeration Date
March 10, 2026
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1789 Carr 21 Ste 202
San Juan, PR 00921-3335
Zip
00921-3335
Phone Number
787-679-6513
San Juan, PR 00921Get directions →

Provider Business Mailing Address Details

Address
1789 Carr 21 Ste 202
San Juan, PR 00921-3335
City
San Juan
State
PR
Zip
00921-3335
Phone Number
787-679-6513

License Information

Taxonomy
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mjom ENT LLC?

The NPI number of Mjom ENT LLC is 1164379111. It was assigned on March 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Mjom ENT LLC?

Mjom ENT LLC is registered under the primary taxonomy Otolaryngology (code 207Y00000X).

Where does Mjom ENT LLC practice?

The practice location is 1789 Carr 21 Ste 202, San Juan, PR 00921-3335. The office can be reached at 787-679-6513 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164379111 directly on the NPPES registry website.

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