# EMERGENCY PHYSICIAN PROVIDERS, LLC

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

## Provider details

- **NPI number:** 1245775089
- **Authorized official:** MRS. MICHELLE GARCIA (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (787) 221-9494

## Contact information

- **Practice address:** 55 CALLE PALMA, ARECIBO, PR 00612
- **Practice address phone:** (787) 436-0727
- **Mailing address:** 1500 FD ROOSEVELT AVE, SUITE 407, GUAYNABO, PR 00969
- **Mailing address phone:** (787) 436-0727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 02/21/2017