| Rps Primary Medical Center Pllc | |
|
2900 Loopdale Ln Kissimmee FL 34741-7658 | |
| (689) 221-0039 | |
| Not Available |
| Full Name | Rps Primary Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 Loopdale Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Maria Otero (DIRECTOR BUSINESS OPERATIONS) |
| Authorized Official Contact | 6892210039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rps Primary Medical Center Pllc 2900 Loopdale Ln Kissimmee FL 34741-7658 Ph: (689) 221-0039 | Rps Primary Medical Center Pllc 2900 Loopdale Ln Kissimmee FL 34741-7658 Ph: (689) 221-0039 |
| NPI Number | 1417537200 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 5092118836 |
|---|---|
| Medicare Enrollment ID | O20210730001324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417537200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebeca Lidia Perez Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356871735 PECOS PAC ID: 9335411495 Enrollment ID: I20170824000539 |
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