Organization
PRIMARY MEDICAL & WOUND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY O MARQUEZ MD (PRESIDENT)
17879690020
Entity
Organization
Contact information
Practice address
CARRETERA 155 PUGNADO ADENTRO KM 58.5, VEGA BAJA, PR 00693
(787) 969-0020
Mailing address
7046 PISOS REALES, VEGA BAJA, PR 00693
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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