Organization
PRIMARY PHYSICIAN CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEIDA G NIEVES (PRESIDENT)
(787) 614-5231
Entity
Organization
Contact information
Practice address
361 CALLE SGTO LUIS MEDINA, EXT ROOSEVELT, SAN JUAN, PR 00918-3817
(787) 763-6432
(855) 304-1818
Mailing address
138 AVE WINSTON CHURCHILL, PMB 659, SAN JUAN, PR 00926-6013
(787) 614-5231
(855) 304-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
06/11/2020
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