| Senior Primary Medicine Inc | |
|
Naranjito Shooping Village Bo.cedro Arriba Carr 152 Km Naranjito PR 00719 | |
| (939) 274-9637 | |
| Not Available |
| Full Name | Senior Primary Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | Naranjito Shooping Village, Naranjito, Puerto Rico |
| Authorized Official Name and Position | Gregmarie Lopez (ADMINISTRADORA) |
| Authorized Official Contact | 9392749637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Primary Medicine Inc Hc 71 Box 3305 Naranjito PR 00719-9532 Ph: (787) 452-1572 | Senior Primary Medicine Inc Naranjito Shooping Village Bo.cedro Arriba Carr 152 Km Naranjito PR 00719 Ph: (939) 274-9637 |
| NPI Number | 1275266074 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 4789060732 |
|---|---|
| Medicare Enrollment ID | O20220929000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275266074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alex Reinaldo Gutierrez Nieves |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114297868 PECOS PAC ID: 7315264900 Enrollment ID: I20150319000222 |
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