# PHYSICIAN PREMIER MEDICAL GROUP, PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1225206071
- **Authorized official:** GUSTAVO CORDERO (PRESIDENTE)
- **Authorized official phone:** (787) 736-2252

## Contact information

- **Practice address:** \# 7 NORTE, CALLE MUNOZ RIVERA, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 736-2252
- **Mailing address:** \# 7 NORTE, CALLE MUNOZ RIVERA, SAN LORENZO, PR 00754
- **Mailing address phone:** (787) 736-2252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 02/14/2008