| Primary Internal Med Llc | |
|
F2 Calle C Caguas PR 00727-1136 | |
| (787) 315-5855 | |
| Not Available |
| Full Name | Primary Internal Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | F2 Calle C, Caguas, Puerto Rico |
| Authorized Official Name and Position | Noelia Flores De Jesus (OWNER) |
| Authorized Official Contact | 7873155855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Internal Med Llc F2 Calle C Caguas PR 00727-1136 Ph: (787) 315-5855 | Primary Internal Med Llc F2 Calle C Caguas PR 00727-1136 Ph: (787) 315-5855 |
| NPI Number | 1184351827 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 5193199545 |
|---|---|
| Medicare Enrollment ID | O20230326000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184351827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Noelia Flores De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780242990 PECOS PAC ID: 4385024025 Enrollment ID: I20220712000894 |
| Provider Name | Nikita L Rabelo-pagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588015507 PECOS PAC ID: 8729407606 Enrollment ID: I20230829001412 |
| Provider Name | Massiel Almonte Caminero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881290278 PECOS PAC ID: 6800231671 Enrollment ID: I20240302000401 |
| Provider Name | Shirley Yahaira Lugardo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891389375 PECOS PAC ID: 0042675886 Enrollment ID: I20240325001600 |
| Provider Name | Kiara Ivelisse Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780382994 PECOS PAC ID: 2961922349 Enrollment ID: I20250228001740 |
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