MTG PEDIATRIC GROUP PSG (NPI# 1093298176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093298176 |
Entity Type | Organization |
Organization Name | MTG PEDIATRIC GROUP PSG |
Practice Address |
Calle Hernandez Carrion Urb. Atenas Manati PR 00674 |
Mailing Address |
P.o. Box 8901 Pmb 022 Hatillo PR 00659 |
Practice Telephone | 7876213700 |
Practice Fax Number | 7876217889 |
Mailing Telephone | 7878842558 |
Mailing Fax Number | 7876217889 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Authorized Official Name | MARILYN TOLDEO (PRESIDENT) |
Authorized Official Telephone | 7878842558 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
CALLE HERNANDEZ CARRION URB. ATENAS |
City | MANATI |
State | PR |
Zip Code | 00674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326408097 | Marina Torres | General Practice | Calle Hernandez Carrion Urb. Atenas, Manati Medical Center, Manati, PR 00674 | 2016-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
1538768338 | Yaidelise Ayala-villalobos | Speech-Language Pathologist | Bo Cotto Norte Urb Villa Maria B-4, Manati, PR 00674 | 2020-10-22 |
1043826142 | Karina Mariel Garcia Collazo | General Practice | Est. Valle Verde #41, Calle Quebrada, Manati, PR 00674 | 2020-09-23 |
1184239287 | Xayisnalie Martinez Rodriguez | Student in an Organized Health Care Education/Training Program | Bo San Jose 13 Calle Jaraquemada, Manati, PR 00674 | 2020-09-15 |
1114532207 | Professional Nutrition By Lcda. Daina Vega Miranda LLC | Nutritionist | Urb Atenas B-36 Calle Elliot Velez, Manati, PR 00674 | 2020-09-15 |
1538774427 | Yomayra Cruz I | Social Worker | The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 | 2020-09-09 |
1487268942 | Keila Raquel Alvarado | Social Worker | 208 Calle Gorrion Urb. Hacienda La Monserrate, Manati, PR 00674 | 2020-09-02 |
1598374415 | Beyond Care Doctor Group Csp | General Practice | Bo Cotto Norte Carr 670 Km 3.2, Manati, PR 00674 | 2020-07-27 |
1295343267 | David Agustin Lopez Rodriguez | General Practice | Calle Hernandez Carrion Urb Atenas Manati, Manati, PR 00674 | 2020-07-16 |
1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
Find all providers in zip 00674 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505163 | Recinto De Ciencias Medicas | Emergency Medicine | Sala De Emergencia Hospital Pediatrico Universitario, Centro Medico De Puerto Rico, Bo. Monacillos, Rio Piedras, PR 00935 | 2019-12-13 |
1295223055 | Pediatric Pro & Medicine LLC | Emergency Medicine | Calle Jose C Vazquez Carretera 726, Urb Vlla Rosales, Aibonito, PR 00705 | 2018-04-27 |
1154736718 | Sarah Marrero Medina | Emergency Medicine | Carr #2, Km 11.7 Interior, Bayamon, PR 00960 | 2014-06-23 |
1366863698 | Pediatric Professionals, Csp | Emergency Medicine | 1 Ave Campinas De Navarro, Urb Campinas De Navarro, Gurabo, PR 00778-5500 | 2014-01-06 |
1326343385 | Centro De Diagnostico Y Tratamiento Mpl Corozal | Emergency Medicine | Calle Marina Numero 13, Corozal, PR 00783 | 2011-01-21 |
1346466836 | Emergenciologos Para Puerto Rico,csp | Emergency Medicine | Urb Santa Rosa 20st., 30 Blq 30, Bayamon, PR 00959 | 2007-04-17 |
1548282379 | Jose H Ruiz | Emergency Medicine | Calle Stanley Miller 11, Bo Caonilla, Aibonito, PR 00705 | 2006-07-24 |
1356388003 | Maritza Salgado Mitchell | Emergency Medicine | Hopital Deninos San Jorge, San Jorge Childrens Hospital, San Turce, PR 00912 | 2006-06-01 |
1740249440 | Pedro X Vales | Emergency Medicine | Hospital Ashford, 1451 Ashford Ave Condado, San Juan, PR 00907 | 2006-03-21 |
1992764617 | Victor M Montanez | Emergency Medicine | Hospital Menonita, Stanley Miller St Bo Caonilla, Aibonito, PR 00705 | 2006-03-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.