PR PROFESSIONAL MEDICAL GROUP PSC NPI 1427359025

NPI Information

PR PROFESSIONAL MEDICAL GROUP, PSC is a general practice in Caguas, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PR PROFESSIONAL MEDICAL GROUP, PSC NPI is 1427359025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

AVE. DEGETAU SEGUNDA EXTENSION ESQUINA EL VERDE
CALLE I #2A
CAGUAS, PR
ZIP 00725-000
Phone: (787) 205-2114

The provider's authorized official is Juitxa Baez .
The authorized official title is Tesorera and has the following contact phone number (787) 205-2114.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 3/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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