| Primary Care Medical Services, Llc | |
|
1396 Calle San Rafael Medical Pavilion, Suite 5 San Juan PR 00910 | |
| (787) 725-6713 | |
| (787) 998-6733 |
| Full Name | Primary Care Medical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1396 Calle San Rafael, San Juan, Puerto Rico |
| Authorized Official Name and Position | Christian Rodriguez Vargas (PRESIDENT) |
| Authorized Official Contact | 9392757179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medical Services, Llc 1396 Calle San Rafael Medical Pavilion, Suite 5 San Juan PR 00910 Ph: (787) 725-6713 | Primary Care Medical Services, Llc 1396 Calle San Rafael Medical Pavilion, Suite 5 San Juan PR 00910 Ph: (787) 725-6713 |
| NPI Number | 1124774716 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 6608226303 |
|---|---|
| Medicare Enrollment ID | O20231221000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124774716 | NPI | - | NPPES |
| 038331200 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christian Rodriguez Vargas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629685953 PECOS PAC ID: 9638589260 Enrollment ID: I20201110000449 |
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Medico En Tu Casa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Calle Julio Andino, Urb Villa Prades, San Juan, PR 00924 Phone: 787-550-6747 Fax: 787-550-6747 | |
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