Organization
PHYSICIAN PREMIER MEDICAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO CORDERO (PRESIDENTE)
(787) 736-2252
Entity
Organization
Contact information
Practice address
# 7 NORTE, CALLE MUNOZ RIVERA, SAN LORENZO, PR 00754
(787) 736-2252
Mailing address
# 7 NORTE, CALLE MUNOZ RIVERA, SAN LORENZO, PR 00754
(787) 736-2252
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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