Provider Demographics
NPI:1073358149
Name:MMM MULTI HEALTH, LLC
Entity type:Organization
Organization Name:MMM MULTI HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP MMM GB FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:AGUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-622-3000
Mailing Address - Street 1:PO BOX 71114
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8014
Mailing Address - Country:US
Mailing Address - Phone:787-622-3000
Mailing Address - Fax:
Practice Address - Street 1:350 AVE CHARDON STE 500
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2101
Practice Address - Country:US
Practice Address - Phone:787-622-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization