Provider Demographics
NPI:1114376506
Name:MEDICAL TRANSITIONAL CARE SERVICES, INC
Entity Type:Organization
Organization Name:MEDICAL TRANSITIONAL CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOMASSINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-254-1294
Mailing Address - Street 1:15673 SOUTHERN BLVD # 107-324
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9218
Mailing Address - Country:US
Mailing Address - Phone:917-254-1294
Mailing Address - Fax:561-293-8260
Practice Address - Street 1:15673 SOUTHERN BLVD # 107-324
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9218
Practice Address - Country:US
Practice Address - Phone:917-254-1294
Practice Address - Fax:561-293-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty