| Primary Health Center PR LLC | |
|
50 Calle 65 De Infanteria Local 2 Anasco PR 00610 | |
| (787) 224-2703 | |
| Not Available |
| Full Name | Primary Health Center PR LLC |
|---|---|
| Speciality | General Practice |
| Location | 50 Calle 65 De Infanteria Local 2, Anasco, Puerto Rico |
| Authorized Official Name and Position | Raul Perez (PRESIDENTE) |
| Authorized Official Contact | 7872242703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Center PR LLC Po Box 862 Anasco PR 00610-0862 | Primary Health Center PR LLC 50 Calle 65 De Infanteria Local 2 Anasco PR 00610 Ph: (787) 224-2703 |
| NPI Number | 1477445195 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 07/23/2025 |
| Certification Date | 07/23/2025 |
| Medicare PECOS PAC ID | 4880101005 |
|---|---|
| Medicare Enrollment ID | O20250730003493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477445195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Raul a Perez Roman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568646859 PECOS PAC ID: 3476625039 Enrollment ID: I20080626000634 |
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