| Premium Medical Group PSC | |
|
Carretera 129, Km 1.0 Av. San Luis Arecibo PR 00613 | |
| (787) 650-7272 | |
| Not Available |
| Full Name | Premium Medical Group PSC |
|---|---|
| Speciality | General Practice |
| Location | Carretera 129, Km 1.0 Av. San Luis, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Edgardo Martin Vargas (DOCTOR OF MEDICINE) |
| Authorized Official Contact | 7876394908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Medical Group PSC Carretera 129, Km 1.0 Av. San Luis Arecibo PR 00613 Ph: (787) 650-7272 | Premium Medical Group PSC Carretera 129, Km 1.0 Av. San Luis Arecibo PR 00613 Ph: (787) 650-7272 |
| NPI Number | 1205548815 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205548815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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