| Primary MD Services LLC | |
|
Munoz Rivera 33 Suite 2 Cabo Rojo PR 00623-0062 | |
| (787) 851-6407 | |
| Not Available |
| Full Name | Primary MD Services LLC |
|---|---|
| Speciality | General Practice |
| Location | Munoz Rivera 33, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Magaly Bracero (PRESIDENT) |
| Authorized Official Contact | 7872158807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary MD Services LLC Po Box 882 Cabo Rojo PR 00623-0882 Ph: (787) 215-8807 | Primary MD Services LLC Munoz Rivera 33 Suite 2 Cabo Rojo PR 00623-0062 Ph: (787) 851-6407 |
| NPI Number | 1598330607 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Medicare PECOS PAC ID | 0446641781 |
|---|---|
| Medicare Enrollment ID | O20211222000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598330607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Magaly Bracero Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215910823 PECOS PAC ID: 5395770663 Enrollment ID: I20051005000833 |
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