| Primary Health Center, Psc | |
|
154 Calle Barbosa Moca PR 00676 | |
| (787) 818-2866 | |
| (787) 551-7038 |
| Full Name | Primary Health Center, Psc |
|---|---|
| Speciality | General Practice |
| Location | 154 Calle Barbosa, Moca, Puerto Rico |
| Authorized Official Name and Position | Lourdes Mercado Torres (PRESIDENT) |
| Authorized Official Contact | 7876750754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Center, Psc Po Box 117 Isabela PR 00662-0117 Ph: (787) 818-2866 | Primary Health Center, Psc 154 Calle Barbosa Moca PR 00676 Ph: (787) 818-2866 |
| NPI Number | 1497318364 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 8527447515 |
|---|---|
| Medicare Enrollment ID | O20220622001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497318364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lourdes Mercado-torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598800047 PECOS PAC ID: 0941514541 Enrollment ID: I20150727001334 |
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