MM Neurology PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MM NEUROLOGY PSC

Practice address

724 Ave Ponce de Leon
Suite #1
San Juan, PR 00918-4512

Phone

(787) 274-9191

Fax

(787) 753-3624

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marisol Mubarak Perdomo, M.D.

Title

Neurologist

Phone

(787) 486-1619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1366840597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 AVE PONCE DE LEON",
            "address_2": "SUITE #1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184512",
            "telephone_number": "787-274-9191",
            "fax_number": "787-753-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 AVE PONCE DE LEON",
            "address_2": "SUITE #1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184512",
            "telephone_number": "787-274-9191",
            "fax_number": "787-753-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM NEUROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_middle_name": "MUBARAK",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "787-486-1619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carmen Miti-Aponte, B.A.
• Mjom ENT LLC
• MM Pharmacy, LLC.
• Mma Transmedic Ambulance Services Corp
• MMCL Dental Plaza LLC
• MMD Advanced Imaging, PSC
• MMM Healthcare, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.