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Organization
PRIMARY HEALTH ADVANCED MEDICINE LLC
Active
Organization
PRIMARY HEALTH ADVANCED MEDICINE LLC
Active
Other names
PRIMARY HEALTH ADVANCED MEDICINE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN M MARQUEZ MD (MD)
(787) 242-2884
Entity
Organization
Contact information
Practice address
13 CALLE GMO ESTEVES, JAYUYA, PR 00664-1629
(787) 828-6456
Mailing address
PO BOX 881, JAYUYA, PR 00664-0881
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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