# PRIMARY HEALTH ADVANCED MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIMARY HEALTH ADVANCED MEDICINE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811695034
- **Authorized official:** MRS. GWENDOLYN M MARQUEZ MD (MD)
- **Authorized official phone:** (787) 242-2884

## Contact information

- **Practice address:** 13 CALLE GMO ESTEVES, JAYUYA, PR 00664-1629
- **Practice address phone:** (787) 828-6456
- **Mailing address:** PO BOX 881, JAYUYA, PR 00664-0881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/16/2023
- **Last updated:** 02/16/2023