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Organization

PRIME FAMILY CLINIC LLC

Active
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Organization

PRIME FAMILY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORGE E VAZQUEZ (PRESIDENT)
(787) 654-7390
Entity
Organization

Contact information

Practice address
CARR 688 KM 14.1 SABANA BRANCH, BO SABANA, VEGA BAJA, PR 00693
(787) 654-7390
Mailing address
PMB 209, 425 CARR 693, DORADO, PUERTO RICO 00646
(787) 654-7390
(787) 654-7397

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13232
PR

Other

Enumeration date
12/11/2008
Last updated
10/24/2014
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