# ATLANTIC EMERGENCY GROUP PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104935154
- **Authorized official:** MR. SAMUEL RIVERA MD (OWNER)
- **Authorized official phone:** (787) 898-7990

## Contact information

- **Practice address:** CARR 129 KM 15.1 BO BAYANEY, HATILLO, PR 00659
- **Practice address phone:** (787) 898-7990
- **Practice address fax:** (787) 898-7990
- **Mailing address:** PO BOX 9975, ARECIBO, PR 00613
- **Mailing address phone:** (787) 898-7990
- **Mailing address fax:** (787) 898-7990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020