Organization
PRIMARY MEDICAL GROUP,C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAIDA DEL RIO M.D. (PRESIDENTE)
(787) 813-0080
Entity
Organization
Contact information
Practice address
CALLE FERROCARRIL, # 607, PONCE, PR 00717-1195
(787) 813-0257
(787) 840-8874
Mailing address
PO BOX 336149, PONCE, PR 00733-6149
(787) 813-0257
(787) 840-8874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/26/2006
Last updated
01/04/2010
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