Active NPI
MTG Pediatric Group PSG
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Manati, PR
National Provider Identifier
1093298176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Legal business name
- MTG PEDIATRIC GROUP PSG
- Practice address
- Calle Hernandez Carrion Urb. Atenas
Manati, PR 00674 - Phone
- (787) 621-3700
- Fax
- (787) 621-7889
- NPI assigned
- Sep 13, 2018
- Last updated
- Sep 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Toldeo, MD
- Title
- President
- Phone
- (787) 884-2558
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | NU | Primary | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | NU | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | NU |
Addresses
Primary practice location
Calle Hernandez Carrion Urb. Atenas
Manati, PR 00674
Mailing address
P.O. Box 8901 PMB 022
Hatillo, PR 00659
Phone (787) 884-2558
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536796800000",
"number": "1093298176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8901 PMB 022",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-884-2558",
"fax_number": "787-621-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE HERNANDEZ CARRION URB. ATENAS",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-621-3700",
"fax_number": "787-621-7889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTG PEDIATRIC GROUP PSG",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A",
"authorized_official_last_name": "TOLDEO",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-884-2558",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.