Organization Name: | SALUD PRIMARIA |
NPI Number: | 1639420508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE BORRAS (PRESIDENT) |
Mailing Address: | 202 Calle Gautier Benitez Consolidated Mall Suite C-1-a Caguas |
State: | PR US |
Postal Code: | 007255527 |
Phone Number: | 7872582080 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |