Organization
PRIME DIRECTIVES PM&R LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA CARMELA R TAMAYO DO MS MPH (CEO)
(708) 525-1058
Entity
Organization
Contact information
Practice address
11800 EDGEWATER DR APT 715, LAKEWOOD, OH 44107-1755
(440) 345-9300
Mailing address
PO BOX 660, MENTOR, OH 44061-0660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
05/08/2025
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