| Grymar Primary Care Services LLC | |
|
Carr 110 Km 28.5 Bo Aguacate Aguadilla PR 00603 | |
| (787) 600-5054 | |
| Not Available |
| Full Name | Grymar Primary Care Services LLC |
|---|---|
| Speciality | General Practice |
| Location | Carr 110 Km 28.5 Bo Aguacate, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Grisely Moro Acevedo (PRESIDENT) |
| Authorized Official Contact | 7872230153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grymar Primary Care Services LLC Hc 7 Box 35867 Aguadilla PR 00603-9442 Ph: (787) 223-0153 | Grymar Primary Care Services LLC Carr 110 Km 28.5 Bo Aguacate Aguadilla PR 00603 Ph: (787) 600-5054 |
| NPI Number | 1780300608 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 6406200955 |
|---|---|
| Medicare Enrollment ID | O20231002003289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780300608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Grisely Moro Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699383679 PECOS PAC ID: 6800206376 Enrollment ID: I20201112000857 |
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