Organization
PRIMARY MEDICAL CENTER IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO CHEVERE M.D. (PRESIDENT)
(787) 844-0331
Entity
Organization
Contact information
Practice address
CALLE FERROCARRIL # 607, PONCE, PR 00717-1195
(787) 844-0331
(787) 840-8874
Mailing address
CALLE FERROCARRIL # 607, PONCE, PR 00717-1195
(787) 844-0331
(787) 840-8874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0428
AMERICAN HEALTH MEDICARE
PR
Enumeration date
10/27/2014
Last updated
10/27/2014
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