Organization
MTG PEDIATRIC GROUP PSG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN TOLDEO MD (PRESIDENT)
(787) 884-2558
Entity
Organization
Contact information
Practice address
CALLE HERNANDEZ CARRION URB. ATENAS, MANATI, PR 00674
(787) 621-3700
(787) 621-7889
Mailing address
P.O. BOX 8901 PMB 022, HATILLO, PR 00659
(787) 884-2558
(787) 621-7889
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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