Organization
ADVANCED PRIMARY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN PEREZ RIVERA MD (PRESIDENT)
(787) 998-7015
Entity
Organization
Contact information
Practice address
CENTRO COMERCIAL PONCE DE LEON EDF A LOCAL 6, AVE. ESMERALDA, GUAYNABO, PR 00969
(787) 998-7015
(787) 998-7016
Mailing address
PMB 319 100 GRAND PASEOS BLVD, STE 112, SAN JUAN, PR 00926
(787) 998-7015
(787) 998-7016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14312
MEDICAL LICENCE
PR
Enumeration date
10/12/2018
Last updated
10/12/2018
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