# PRIME MEDICAL CENTER CSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIME MEDICAL CENTER CSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407563018
- **Authorized official:** MR. PEDRO N CADIZ MIRANDA MD (GENERAL PRACTICE)
- **Authorized official phone:** (787) 861-4800

## Contact information

- **Practice address:** 47 BARCELO ST., MAUNABO, PR 00707
- **Practice address phone:** (787) 861-0547
- **Practice address fax:** (787) 861-0547
- **Mailing address:** PO BOX 598, MAUNABO, PR 00707-0598
- **Mailing address phone:** (787) 861-0547
- **Mailing address fax:** (787) 861-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 12/18/2024