Premier Pain & Spine Specialists LLC
Clinic/Center, Pain in Corozal, PR. Organization (NPI-2).
NPI number1407401169
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1407401169
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Pain & Spine Specialists LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2019
- Last updated
- Aug 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | – | – | Yes |
Practice location
Carr. 159 Km. 13.2 Bo. CibucoCorozal, PR 00783
Phone 787-957-3140
Mailing address
Po Box 2579Bayamon, PR 00960-2579
Phone 787-957-3140
Other practice locations
20-27 Carr 174
Bayamon, PR 00959-6617
Bayamon, PR 00959-6617
Phone 787-957-3140
Authorized official
Luis D Baez-Cabrera
Director
7878107682
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