Organization
EASTERN PRIMARY MEDICAL SERVICES, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO SANABRIA M.D. (PRESIDENT)
(787) 737-6082
Entity
Organization
Contact information
Practice address
D12 CALLE 1, URB. EL VIVERO, GURABO, PR 00778-2301
(787) 737-6082
(787) 737-6082
Mailing address
PO BOX 1323, GURABO, PR 00778-1323
(787) 737-6082
(787) 737-6082
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085450
MEDICARE
PR
01
—
0085450A
MEDICARE
PR
01
—
04351
AMERICAN HEALTH - PROV #
PR
01
—
065428
LA CRUZ AZUL - PROVIDER #
PR
01
—
1304
INTER MED CARD - PROV #
PR
01
—
2011627
PREFERRED HEALTH - # PROV
PR
01
—
3511A
PREFERR MED CHOI - PROV#
PR
01
—
584266586
COSVI - PROVIDER #
PR
01
—
6580008
HUMANA PR -ROVIDER #
PR
01
—
775171
HUMANA GOLD PLUS - PROV#
PR
01
—
MEDICARE Y MUCHO MAS
500117SE - PROVIDER #
PR
Enumeration date
08/09/2006
Last updated
10/17/2011
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