MMG Support Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MMG SUPPORT SERVICES, INC.

Doing business as

Martha M. Gonzalez

Practice address

4001 SW 144TH PL
Miami, FL 33175-7844

Phone

(305) 968-1337

Fax

(305) 226-7016

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By 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

Ms. Martha M. Gonzalez, CSC

Title

Director

Phone

(305) 968-1337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARTHA M. GONZALEZ Doing business as

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1386893345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SW 144TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757844",
            "telephone_number": "305-968-1337",
            "fax_number": "305-226-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 SW 144TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757844",
            "telephone_number": "305-968-1337",
            "fax_number": "305-226-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMG SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-968-1337",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684706479",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTHA M. GONZALEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.