Organization
PRIMARY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO CHEVERE M.D. (PRESIDENTE)
(787) 813-0080
Entity
Organization
Contact information
Practice address
CALLE FERROCARRIL # 607, PONCE, PR 00717-1195
(787) 813-0080
(787) 840-8874
Mailing address
PO BOX 336149, PONCE, PR 00733-6149
(787) 813-0080
(787) 840-8874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200112
MEDICARE Y MUCHO MAS
PR
Enumeration date
01/26/2006
Last updated
09/10/2013
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