# DE MEDICOS PRIMARIOS, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corporacion Medico Primaria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093926834
- **Authorized official:** DR. ANGEL GABRIEL PAGAN M.D. (PRESIDENT)
- **Authorized official phone:** (787) 845-6000

## Contact information

- **Practice address:** 14 CALLE BETANCES, SANTA ISABEL, PR 00757-2632
- **Practice address phone:** (787) 845-6000
- **Practice address fax:** (787) 845-8014
- **Mailing address:** PO BOX 816, SANTA ISABEL, PR 00757-0816
- **Mailing address phone:** (787) 845-6000
- **Mailing address fax:** (787) 845-8014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 12337 | PR | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 10/01/2013
