# FPRM

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

## Provider details

- **NPI number:** 1861172876
- **Authorized official:** PATRICIA NICOLE MAYMI-CASTRODAD MD (OWNER)
- **Authorized official phone:** (787) 647-3682

## Contact information

- **Practice address:** 100 PASEO SAN PABLO STE 410, BAYAMON, PR 00961-7028
- **Practice address phone:** (787) 780-0970
- **Practice address fax:** (787) 780-1660
- **Mailing address:** 100 PASEO SAN PABLO STE 410, BAYAMON, PR 00961-7028
- **Mailing address phone:** (787) 780-0970
- **Mailing address fax:** (787) 780-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 07/31/2023