# COMMUNITY PRIMARY HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1861435489
- **Authorized official:** MR. ANIBAL GONZALEZ (PRESIDENT)
- **Authorized official phone:** (787) 877-1588

## Contact information

- **Practice address:** CARR. \#111 KM 6.3, MOCA, PR 00676
- **Practice address phone:** (787) 877-1588
- **Practice address fax:** (787) 264-3440
- **Mailing address:** 227 CALLE OBISPADO, BO. MIRADERO, MAYAGUEZ, PR 00682-7702
- **Mailing address phone:** (787) 877-1588
- **Mailing address fax:** (787) 264-3440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 09/25/2008