Provider Demographics
NPI:1881857852
Name:PRIMERA SOLUCION / FIRST SOLUTION
Entity Type:Organization
Organization Name:PRIMERA SOLUCION / FIRST SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-875-7817
Mailing Address - Street 1:524 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-5323
Mailing Address - Country:US
Mailing Address - Phone:910-875-7817
Mailing Address - Fax:
Practice Address - Street 1:524 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5323
Practice Address - Country:US
Practice Address - Phone:910-875-7817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization