# PRIMARY INTERNAL CARE PSC

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

## Provider details

- **NPI number:** 1801134978
- **Authorized official:** EDGARDO BAEZ AYALA (MD INTERNAL MEDICINE)
- **Authorized official phone:** (939) 717-9840

## Contact information

- **Practice address:** PLAZA ISABELLA LOCAL 2 BO MACHUCHAL, SABANA GRANDE, PR 00637
- **Practice address phone:** (939) 717-9840
- **Mailing address:** PRADERAS DE RIO FLORES 113, SABANA GRANDE, PR 00637
- **Mailing address phone:** (939) 717-9840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15719 | PR | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 01/30/2013