Primary Medical Group,c.S.P.
Family Medicine in Ponce, PR. Organization (NPI-2).
NPI number1174593545
StatusActive
Last updated in NPPESJan 4, 2010
Details
- NPI
- 1174593545
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Medical Group,c.S.P.
- Organization subpart
- No
- Enumeration date
- Jan 26, 2006
- Last updated
- Jan 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208D00000X | General Practice | – | – |
Practice location
Calle Ferrocarril# 607
Ponce, PR 00717-1195
Phone 787-813-0257 · Fax 787-840-8874
Mailing address
Po Box 336149Ponce, PR 00733-6149
Phone 787-813-0257 · Fax 787-840-8874
Authorized official
Iraida Del Rio
Presidente
7878130080
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