MEDICARE: TECH MEDICAL GROUP, 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	335E00000X	Prosthetic/Orthotic Supplier	87174	PR

General Provider Information

NPI Number	:	1699713800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECH MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	PO BOX 195137
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-5137
Country	:	US
Telephone Number	:	787-759-0460
Fax Number	:	787-751-6949

Provider Business Practice Location Address
First Line	:	219 CALLE LAS MARIAS
Second Line	:	HYDE PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4224
Country	:	US
Telephone Number	:	787-759-0460
Fax Number	:	787-751-6949

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLOS R MERCADO
Credential	:
Telephone Number	:	787-759-0460

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/22/2020

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