# MTG PEDIATRIC GROUP PSG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093298176
- **Authorized official:** MARILYN TOLDEO MD (PRESIDENT)
- **Authorized official phone:** (787) 884-2558

## Contact information

- **Practice address:** CALLE HERNANDEZ CARRION URB. ATENAS, MANATI, PR 00674
- **Practice address phone:** (787) 621-3700
- **Practice address fax:** (787) 621-7889
- **Mailing address:** P.O. BOX 8901 PMB 022, HATILLO, PR 00659
- **Mailing address phone:** (787) 884-2558
- **Mailing address fax:** (787) 621-7889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | — |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/13/2018