| Organization Name: | PRIMARY CARE MEDICAL CENTER INC |
| NPI Number: | 1023497286 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAQUEL MARIA ARRAZOLA (OFFICE MANAGER) |
| Mailing Address: | 311 Ne 8th St Suite 109 Homestead |
| State: | FL US |
| Postal Code: | 330304738 |
| Phone Number: | 3052459222 |
| Fax Number: | 3054282602 |
| NPI Enumeration Date: | 05/21/2015 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME66843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |