| Primary Internal Care PSC | |
|
Plaza Isabella Local 2 Bo Machuchal Sabana Grande PR 00637 | |
| (939) 717-9840 | |
| Not Available |
| Full Name | Primary Internal Care PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | Plaza Isabella Local 2 Bo Machuchal, Sabana Grande, Puerto Rico |
| Authorized Official Name and Position | Edgardo Baez Ayala (MD INTERNAL MEDICINE) |
| Authorized Official Contact | 9397179840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Internal Care PSC Praderas De Rio Flores 113 Sabana Grande PR 00637 Ph: (939) 717-9840 | Primary Internal Care PSC Plaza Isabella Local 2 Bo Machuchal Sabana Grande PR 00637 Ph: (939) 717-9840 |
| NPI Number | 1801134978 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/30/2013 |
| Medicare PECOS PAC ID | 4981849478 |
|---|---|
| Medicare Enrollment ID | O20130404000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801134978 | NPI | - | NPPES |
| EK244A | Other | PR | PTAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15719 (Puerto Rico) | Primary |
| Provider Name | Edgardo Isaac Baez Ayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609967140 PECOS PAC ID: 7012930589 Enrollment ID: I20060111000016 |
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