Provider Demographics
NPI:1235566696
Name:MTM MEDICAL SERVICES,P.S.C.
Entity Type:Organization
Organization Name:MTM MEDICAL SERVICES,P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSSAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-599-4114
Mailing Address - Street 1:PO BOX 19813
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1813
Mailing Address - Country:US
Mailing Address - Phone:787-599-4114
Mailing Address - Fax:
Practice Address - Street 1:AVE. SANCHEZ VILELLA GO-4B
Practice Address - Street 2:URB.COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-750-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care