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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