NPI 1164379111

Mjom Ent LLC

Organisation Otolaryngology Physician San Juan, PR

Practice location

Address: 1789 Carr 21 STE 202, San Juan, PR 00921-3335
Phone: (787) 679-6513

Authorised official

Name: Mariana J Ortiz Martinez
Title: President
Phone: (787) 679-6513

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Puerto Rico →

Registry record

NPI: 1164379111
Entity type: Organization
NPI issued: 10 Mar 2026
Record last updated: 10 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.