Premier Med Inc | |
Carr 9987 Apto 116 Ocean Club At Seven Seas Fajardo PR 00738 | |
(787) 224-9971 | |
Not Available |
Full Name | Premier Med Inc |
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Speciality | General Practice |
Location | Carr 9987 Apto 116 Ocean Club At Seven Seas, Fajardo, Puerto Rico |
Authorized Official Name and Position | Efren Rivera (PRESIDENT) |
Authorized Official Contact | 7872249971 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Med Inc 200 Carr 9987 Apto 116 Ocean Club At Seven Seas Fajardo PR 00738 Ph: (787) 224-9971 | Premier Med Inc Carr 9987 Apto 116 Ocean Club At Seven Seas Fajardo PR 00738 Ph: (787) 224-9971 |
NPI Number | 1285472761 |
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Provider Enumeration Date | 07/18/2024 |
Last Update Date | 07/18/2024 |
Medicare PECOS PAC ID | 1355874777 |
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Medicare Enrollment ID | O20241023004670 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285472761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Efren Rivera Santiago |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619138344 PECOS PAC ID: 9537392758 Enrollment ID: I20140423001879 |
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