Organization Active NPI

MTM Medical Services,P.S.C.

  • Primary Care Clinic/Center
  • Carolina, PR
National Provider Identifier
1235566696
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MTM MEDICAL SERVICES,P.S.C.
Practice address
Ave. Sanchez Vilella Go-4B
Urb.Country Club
Carolina, PR 00982
Phone
(787) 750-0444
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maylynn Tossas, M.D.
Title
President
Phone
(787) 599-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

Ave. Sanchez Vilella Go-4B
Urb.Country Club
Carolina, PR 00982

Mailing address

PO Box 19813
San Juan, PR 00910-1813
Phone (787) 599-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119000758 PR Part B Supplier - Clinic/Group Practice 8224331608 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

GO4 Ave Roberto Sanchez Vilella
#B
Carolina, PR 00982

999 Calle Alejo Cruzado
San Juan, PR 00924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1235566696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19813",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101813",
            "telephone_number": "787-599-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SANCHEZ VILELLA GO-4B",
            "address_2": "URB.COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-750-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM MEDICAL SERVICES,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "TOSSAS",
        "authorized_official_first_name": "MAYLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-599-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.