Mjom ENT LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MJOM ENT LLC

Practice address

1789 Carr 21 Ste 202
San Juan, PR 00921-3335

Phone

(787) 679-6513

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariana J Ortiz Martinez, MDNPI 1710326723

Title

President

Phone

(787) 679-6513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariana Judith Ortiz Martinez, M. D.

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1710326723
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1164379111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 CARR 21 STE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213335",
            "telephone_number": "787-679-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 CARR 21 STE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213335",
            "telephone_number": "787-679-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJOM ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ORTIZ MARTINEZ",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-679-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirta Ortiz Ortega Cpa D/B/a Electronic Billing and Consulting Service
• Mises Abreu Cordero (Farmacia Los Maestros)
• Mision de Vida - Life Mission Corp
• Luis Alejandro Misla Gonzalez, LDO
• Carmen Miti-Aponte, B.A.
• MM Neurology PSC
• MM Pharmacy, LLC.
• Mma Transmedic Ambulance Services Corp
• MMCL Dental Plaza LLC
• MMD Advanced Imaging, PSC

• Otolaryngology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.