Organization
PROACTIVE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ORLANDO PABON QUINONES (PRESIDENT)
(787) 237-0871
Entity
Organization
Contact information
Practice address
CARR 2 KM 39.5, BO ALGARROBO, VEGA BAJA, PR 00693
(787) 858-1580
Mailing address
PO BOX 7001, VEGA BAJA, PR 00694-7001
(787) 237-0871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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