Organization
PRIMARY CARE PROVIDERS NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR A CANDELAS (VICE PRESIDENT)
(787) 778-0315
Entity
Organization
Contact information
Practice address
20 CALLE SANTA CRUZ, BAYAMON, PR 00961-6906
(787) 778-0315
(787) 778-0330
Mailing address
20 CALLE SANTA CRUZ, BAYAMON, PR 00961-6906
(787) 778-0315
(787) 778-0330
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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