# LIFEMD PUERTO RICO PATIENT MEDICAL CARE P.C.

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

## Provider details

- **NPI number:** 1629895107
- **Authorized official:** ERIC YECIES (GENERAL COUNSEL)
- **Authorized official phone:** (646) 263-3680

## Contact information

- **Practice address:** 7 CALLE 1 STE 400, GUAYNABO, PR 00968-1760
- **Practice address phone:** (800) 852-1575
- **Mailing address:** 236 5TH AVE STE 400, NEW YORK, NY 10001-7606
- **Mailing address phone:** (800) 852-1575

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2024
- **Last updated:** 12/17/2024