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Mtg Pediatric Group Psg

Emergency Medicine, Pediatric Emergency Medicine in Manati, PR. Organization (NPI-2).

NPI number1093298176
StatusActive
Last updated in NPPESSep 13, 2018

Details

NPI
1093298176
Entity type
Organization (NPI-2)
Legal business name
Mtg Pediatric Group Psg
Organization subpart
No
Enumeration date
Sep 13, 2018
Last updated
Sep 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PP0204X Emergency Medicine, Pediatric Emergency Medicine––Yes
2080P0204X Pediatrics, Pediatric Emergency Medicine––
2080P0203X Pediatrics, Pediatric Critical Care Medicine––

Practice location

Calle Hernandez Carrion Urb. Atenas
Manati, PR 00674

Phone 787-621-3700 · Fax 787-621-7889

Mailing address

P.O. Box 8901 Pmb 022
Hatillo, PR 00659

Phone 787-884-2558 · Fax 787-621-7889

Authorized official

Marilyn Toldeo
President
7878842558

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