Organization
IAM PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO J AYALA CAMINERO MD (PRESIDENT)
(787) 585-2411
Entity
Organization
Contact information
Practice address
REGENCY PARK, CALLE CARRAZO 155 8A, GUAYNABO, PR 00971
(787) 585-2411
Mailing address
PO BOX 2074, GUAYNABO, PR 00970-2074
(787) 585-2411
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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