MEDICARE: THE MEDICAL TEAM SERVICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1437108313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MEDICAL TEAM SERVICE, INC.

Provider Business Mailing Address
First Line	:	3750 W 16TH AVE
Second Line	:	240 AU
City	:	HIALEAH
State	:	FL
Zip	:	33012-4654
Country	:	US
Telephone Number	:	786-439-6542
Fax Number	:

Provider Business Practice Location Address
First Line	:	3750 W 16TH AVE
Second Line	:	240 AU
City	:	HIALEAH
State	:	FL
Zip	:	33012-4654
Country	:	US
Telephone Number	:	786-439-6542
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CARIDAD CORVEA
Credential	:
Telephone Number	:	786-439-6542

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	08/22/2020

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