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Organization
GSM-SALUD PRIMARIA, LLC
Active
Organization
GSM-SALUD PRIMARIA, LLC
Active
Other names
GSM-Salud Primaria
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASCO EGUIA MOREDA (PRESIDENT OWNER)
(787) 633-5263
Entity
Organization
Contact information
Practice address
1607 AVE PONCE DE LEON STE GM4, SAN JUAN, PR 00909-1803
(787) 910-0909
(888) 588-0319
Mailing address
1353 AVE LUIS VIGOREAUX PMB 757, GUAYNABO, PR 00966-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/17/2021
Last updated
12/21/2021
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