# CENTRO DE MEDICINA PRIMARIA Y ALTERNA DE MAYAGUEZ

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

## Provider details

- **NPI number:** 1992981658
- **Authorized official:** DR. ISMAEL A SEGARRA (PRESIDENT)
- **Authorized official phone:** (787) 831-0396

## Contact information

- **Practice address:** 445 AVE GONZALEZ CLEMENTE, MAYAGUEZ, PR 00682-1136
- **Practice address phone:** (787) 831-0396
- **Mailing address:** PO BOX 5914, MAYAGUEZ, PR 00681-5914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2008
- **Last updated:** 01/12/2008