Provider Demographics
NPI:1972521615
Name:T&T MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:T&T MEDICAL SERVICES, INC.
Other - Org Name:CLINICA DE SALUD PREVENTIVA, SOMOS FAMILIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:ILYICH
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-744-5888
Mailing Address - Street 1:PO BOX 1180
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-1180
Mailing Address - Country:US
Mailing Address - Phone:787-744-5888
Mailing Address - Fax:787-744-5892
Practice Address - Street 1:CARR. 172 HOSPITAL SAN JUAN BAUTISTA
Practice Address - Street 2:SUITE 101
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-744-5888
Practice Address - Fax:787-744-5892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84694Medicare ID - Type UnspecifiedMEDICARE GROUP PRACTICE N