Provider Demographics
NPI:1457751752
Name:TTF HEALTH MEDICAL SERVICES, CSP
Entity Type:Organization
Organization Name:TTF HEALTH MEDICAL SERVICES, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:TALAVERA FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-636-8651
Mailing Address - Street 1:HC 4 BOX 48700
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8503
Mailing Address - Country:US
Mailing Address - Phone:787-636-8651
Mailing Address - Fax:
Practice Address - Street 1:CARR 129 AVE SAN LUIS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-636-8651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF18915Medicare UPIN
PR82260Medicare PIN