# SMM HEALTHCARE PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821778689
- **Authorized official:** DR. SYLMARIE MARRERO MARTINEZ MD (SOLE PROPRIETOR)
- **Authorized official phone:** (787) 412-0002

## Contact information

- **Practice address:** 1507 AVE PONCE DE LEON, SAN JUAN, PR 00909-1750
- **Practice address phone:** (939) 475-1414
- **Practice address fax:** (939) 475-1422
- **Mailing address:** PO BOX 215, HUMACAO, PR 00792-0215
- **Mailing address phone:** (787) 412-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 11/09/2023