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Organization

MJOM ENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIANA J ORTIZ MARTINEZ MD (PRESIDENT)
(787) 679-6513
Entity
Organization

Contact information

Practice address
1789 CARR 21 STE 202, SAN JUAN, PR 00921-3335
(787) 679-6513
Mailing address
1789 CARR 21 STE 202, SAN JUAN, PR 00921-3335
(787) 679-6513

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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