# PRIMARY MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMARY MEDICAL CENTER, INC
- **Other names:** PRIMARY MEDICAL CENTER - VACCINES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407635568
- **Legal business name:** PRIMARY MEDICAL CENTER, INC
- **Authorized official:** SERGIO CHEVERE MOURINO MD (PRESIDENT)
- **Authorized official phone:** (787) 844-0331

## Contact information

- **Practice address:** CALLE FERROCARRIL \#607 ESQ. TORRES, EDIF. SAN FRANCISCO, PONCE, PR 00717
- **Practice address phone:** (787) 844-0331
- **Practice address fax:** (787) 840-8874
- **Mailing address:** PO BOX 336149, PONCE, PR 00733-6149
- **Mailing address phone:** (787) 844-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 09/27/2023