Provider Demographics
NPI:1922437573
Name:PRIME MEDICAL GROUP
Entity Type:Organization
Organization Name:PRIME MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-ALEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-316-2047
Mailing Address - Street 1:1452 N KROME AVE
Mailing Address - Street 2:101-I
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2440
Mailing Address - Country:US
Mailing Address - Phone:305-316-2047
Mailing Address - Fax:786-504-3364
Practice Address - Street 1:1452 N KROME AVE
Practice Address - Street 2:101-I
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2440
Practice Address - Country:US
Practice Address - Phone:305-316-2047
Practice Address - Fax:786-504-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care