MMT Medical Supply Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MMT MEDICAL SUPPLY CORP.

Practice address

100 Calle 31 SW Apt 786
San Juan, PR 00921-2454

Phone

(787) 783-6807

NPI assigned

Mar 11, 2010

Organization subpart

Yes

Parent organization

MMT MEDICAL SUPPLY CORP.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos Mizrahi

Title

President

Phone

(787) 783-6807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

MMT Medical Supply Corp2 organizations share this tax ID, including this one

Part of

MMT Medical Supply Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MMT Medical Supply Corp.

  • Prosthetic/Orthotic Supplier
  • San Juan, PR
  • NPI 1417233248
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1013230549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE 31 SW APT 786",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212454",
            "telephone_number": "787-783-6807",
            "fax_number": "787-783-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE 31 SW APT 786",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212454",
            "telephone_number": "787-783-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMT MEDICAL SUPPLY CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMT MEDICAL SUPPLY CORP.",
        "enumeration_date": "2010-03-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-783-6807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mma Transmedic Ambulance Services Corp
• MMCL Dental Plaza LLC
• MMD Advanced Imaging, PSC
• MMM Healthcare, LLC
• MMM Multi Health, LLC
• MMT Medical Supply Corp.
• Veda Leonor Mockford, LMT
• Modern Cardiology Associates
• Modern Radiology, PSC
• Moh Peds Oto CSP

• Durable Medical Equipment & Medical Supplies in San Juan, PR
• Providers in San Juan, PR by specialty
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.