| Prime Medica Psc | |
|
Hc 3 Box 39603 Aguada PR 00602-9794 | |
| (787) 868-0345 | |
| (787) 868-0345 |
| Full Name | Prime Medica Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | Hc 3 Box 39603, Aguada, Puerto Rico |
| Authorized Official Name and Position | Hiram J Ortega (PRESIDENT) |
| Authorized Official Contact | 7878680345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medica Psc Hc 3 Box 39603 Aguada PR 00602-9794 Ph: (787) 868-0345 | Prime Medica Psc Hc 3 Box 39603 Aguada PR 00602-9794 Ph: (787) 868-0345 |
| NPI Number | 1215340567 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 3870855422 |
|---|---|
| Medicare Enrollment ID | O20180320002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215340567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hiram Ortega |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336125368 PECOS PAC ID: 7618039413 Enrollment ID: I20090102000045 |
| Provider Name | Vanessa I Ruiz Nunez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194332494 PECOS PAC ID: 8022429844 Enrollment ID: I20201201000569 |
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