Medical Management & Data Services, Inc.

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

66 072 1132 Issued in PR

Legal business name

MEDICAL MANAGEMENT & DATA SERVICES, INC.

Practice address

Roberto Clemente Ave. 66 St Bloque 124 # 8 Altos
Villa Carolina
Carolina, PR 00985

Phone

(787) 257-0709

Fax

(787) 276-4275

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jampierre Legrand, CPA

Title

Ceo

Phone

(787) 257-0709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1316255326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 3619",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843619",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERTO CLEMENTE AVE. 66 ST BLOQUE 124 # 8 ALTOS",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT & DATA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "JAMPIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-257-0709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "PR",
            "license": "66 072 1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Carolina, PR
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• Supports Brokerage Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.