| Organization Name: | PRIMARY & INTERNAL MEDICINE |
| NPI Number: | 1275693582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID RAFAEL QUESTELL ALVARADO (PRESIDENT) |
| Mailing Address: | 30 Calle Betances Santa Isabel |
| State: | PR US |
| Postal Code: | 007572619 |
| Phone Number: | 7878453649 |
| Fax Number: | 7878454511 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Corporate Health |
| Taxonomy Definition: | |