| Organization Name: | DE MEDICOS PRIMARIOS, CORP. |
| NPI Number: | 1093926834 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGEL GABRIEL PAGAN (PRESIDENT) |
| Mailing Address: | 14 Calle Betances Santa Isabel |
| State: | PR US |
| Postal Code: | 007572632 |
| Phone Number: | 7878456000 |
| Fax Number: | 7878458014 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 12337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |