Provider Demographics
NPI:1295560209
Name:HEALTH PRIMARY CARE CORP
Entity type:Organization
Organization Name:HEALTH PRIMARY CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:ALVARADO GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-718-3481
Mailing Address - Street 1:69 CALLE HOCONUCO
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-4317
Mailing Address - Country:US
Mailing Address - Phone:787-718-3481
Mailing Address - Fax:
Practice Address - Street 1:975 CALLE BAUHINIA
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3410
Practice Address - Country:US
Practice Address - Phone:787-718-3481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty