Organization
SOUTHWESTERN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILMER DAVILA GONZALEZ MD (PRESIDENT)
(787) 590-5451
Entity
Organization
Contact information
Practice address
CARR. 101 KM. 16.2 SECTOR LAS ARENAS, CABO ROJO, PR 00623
(787) 590-5451
Mailing address
HC 1 BOX 1637, BOQUERON, PR 00622-9619
(787) 590-5451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033755913
—
PR
Enumeration date
01/29/2025
Last updated
01/30/2025
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