| Prime Health Llc | |
|
1368c Calle San Damian San Juan PR 00921-3712 | |
| (787) 459-9993 | |
| Not Available |
| Full Name | Prime Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 1368c Calle San Damian, San Juan, Puerto Rico |
| Authorized Official Name and Position | Edgardo Javier Baez (PRESIDENTE) |
| Authorized Official Contact | 7874599993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Llc 1368c Calle San Damian San Juan PR 00921-3712 Ph: (787) 459-9993 | Prime Health Llc 1368c Calle San Damian San Juan PR 00921-3712 Ph: (787) 459-9993 |
| NPI Number | 1013507698 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 3476969098 |
|---|---|
| Medicare Enrollment ID | O20210305001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013507698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Edgardo J Baez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457909921 PECOS PAC ID: 1456786151 Enrollment ID: I20200127000054 |
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