# CENTRO DE MEDICINA PRIMARIA LLC

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

## Provider details

- **NPI number:** 1487378295
- **Authorized official:** DR. RONALD SERRANO MD (PRESIDENTE)
- **Authorized official phone:** (787) 679-6965

## Contact information

- **Practice address:** CARR \#183 KM 19.3, BARRIO MONTONES, LAS PIEDRAS, PR 00771
- **Practice address phone:** (787) 679-6965
- **Mailing address:** PO BOX 1475, LAS PIEDRAS, PR 00771-1475
- **Mailing address phone:** (787) 679-6965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 09/27/2022