Mjom ENT LLC
NPI 1164379111ActiveOrganization· Otolaryngology· San Juan, PR
Otolaryngology in San Juan, Puerto Rico, registered in NPPES in March 2026. The authorized official on file is Mariana J. Ortiz Martinez, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164379111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2026 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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