Organization
TMG MEDICAL GROUP CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONATHAN RIVERA JIMENEZ (PRESIDENT)
(787) 600-5661
Entity
Organization
Contact information
Practice address
1 CALLE TOMAS DAVILA, BARCELONETA, PR 00617-2798
(787) 846-6890
(787) 846-5458
Mailing address
CALLE TOMAS DAVILA #1, BARCELONETA, PR 00617
(787) 846-6890
(787) 846-5458
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
85
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-249
CNC
PR
Enumeration date
04/18/2007
Last updated
10/12/2021
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