Organization
PREMIUM MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO MARTIN VARGAS MD (DOCTOR OF MEDICINE)
(787) 639-4908
Entity
Organization
Contact information
Practice address
CARRETERA 129, KM 1.0 AV. SAN LUIS, ARECIBO, PR 00613
(787) 650-7272
Mailing address
CARRETERA 129, KM 1.0 AV. SAN LUIS, ARECIBO, PR 00613
(787) 650-7272
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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