NPI 1316255326

Medical Management & Data Services, INC.

Organisation Supports Brokerage Agency Carolina, PR

Practice location

Address: Roberto Clemente Ave. 66 St Bloque 124 # 8 Altos Villa Carolina, Carolina, PR 00985
Phone: (787) 257-0709
Fax: (787) 276-4275
Mailing address: P O Box 3619, Carolina, PR 00984-3619

Authorised official

Name: Jampierre Legrand
Title: Ceo
Phone: (787) 257-0709

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 66 072 1132 (PR)

Other Supports Brokerage providers in Puerto Rico →

Registry record

NPI: 1316255326
Entity type: Organization
NPI issued: 24 Sep 2010
Record last updated: 24 Sep 2010

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.