Organization
PRIME MEDICAL CENTER CSP
Active
Other names
PRIME MEDICAL CENTER CSP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO N CADIZ MIRANDA MD (GENERAL PRACTICE)
(787) 861-4800
Entity
Organization
Contact information
Practice address
47 BARCELO ST., MAUNABO, PR 00707
(787) 861-0547
(787) 861-0547
Mailing address
PO BOX 598, MAUNABO, PR 00707-0598
(787) 861-0547
(787) 861-0547
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8366
MEDICAL LICENSE NUMBER
PR
Enumeration date
11/02/2022
Last updated
12/18/2024
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