| Primary Care Medical Associates, Inc | |
|
109 Beechwood Ave Pawtucket RI 02860-5409 | |
| (401) 729-6151 | |
| Not Available |
| Full Name | Primary Care Medical Associates, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 Beechwood Ave, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Ivonne E Cam (OFFICE MANAGER) |
| Authorized Official Contact | 4017296151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medical Associates, Inc 109 Beechwood Ave Pawtucket RI 02860-5409 Ph: (401) 729-6151 | Primary Care Medical Associates, Inc 109 Beechwood Ave Pawtucket RI 02860-5409 Ph: (401) 729-6151 |
| NPI Number | 1023212412 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355562257 |
|---|---|
| Medicare Enrollment ID | O20141017001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023212412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hector R Oshiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720180110 PECOS PAC ID: 5395702591 Enrollment ID: I20041220000042 |
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