Provider Demographics
NPI:1356817217
Name:CENTRO DE MEDICINA PRIMARIA Y GERIATRIA PSC
Entity Type:Organization
Organization Name:CENTRO DE MEDICINA PRIMARIA Y GERIATRIA PSC
Other - Org Name:PRIMARY MEDICINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSADO GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-675-4023
Mailing Address - Street 1:200 CALLE 17A APT 217
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-3912
Mailing Address - Country:US
Mailing Address - Phone:787-675-4038
Mailing Address - Fax:787-957-7313
Practice Address - Street 1:CARRETERA 798 KM 0.5
Practice Address - Street 2:BO RIO CANAS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-675-4038
Practice Address - Fax:787-957-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty