Provider Demographics
NPI:1306086806
Name:TOTAL CARE SERVICES
Entity type:Organization
Organization Name:TOTAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-454-6050
Mailing Address - Street 1:3000 KINGMAN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6636
Mailing Address - Country:US
Mailing Address - Phone:504-454-6050
Mailing Address - Fax:504-454-6051
Practice Address - Street 1:3000 KINGMAN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6636
Practice Address - Country:US
Practice Address - Phone:504-454-6050
Practice Address - Fax:504-454-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty