Organization
PRIME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO JAVIER BAEZ MD (PRESIDENTE)
(787) 459-9993
Entity
Organization
Contact information
Practice address
1368C CALLE SAN DAMIAN, SAN JUAN, PR 00921-3712
(787) 459-9993
Mailing address
1368C CALLE SAN DAMIAN, SAN JUAN, PR 00921-3712
(787) 459-9993
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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