# BARCELONETA PRIMARY HEALTH SERVICES INC. (CLINIC NUTRICIONAL)

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811218407
- **Authorized official:** MS. LEIDA A. NAZARIO MHSA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** 17878464412

## Contact information

- **Practice address:** CARR \#2 KM 57.8, BARCELONETA, PR 00617-2045
- **Practice address phone:** (178) 784-6441
- **Practice address fax:** (178) 784-6741
- **Mailing address:** PO BOX 2045, BARCELONETA, PR 00617-2045
- **Mailing address phone:** (178) 784-6441
- **Mailing address fax:** (178) 784-6741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | PR | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010