PRYMED MEDICAL CARE INC NPI 1881661866

NPI Information

NPI: 1881661866
Provider Name: PRYMED MEDICAL CARE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 40D0707243

Address:
CALLE 149 KM 13
CIALES, PR
ZIP 00638
Phone: (787) 871-0601
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PRYMED MEDICAL CARE, INC is a federally qualified health center (fqhc) clinic center in Ciales, PR. PRYMED MEDICAL CARE, INC NPI is 1881661866. The provider is registered as an organization entity type.

The provider's business location address is:

CALLE 149 KM 13
CIALES, PR
ZIP 00638
Phone: (787) 871-0601
Fax: (787) 871-3960

The provider's authorized official is Gladys Rivera .
The authorized official title is Executive Director and has the following contact phone number (787) 871-0601.

The CLIA number assigned to this NPI record is 40D0707243 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 1/27/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	36	PUERTO RICO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HQ647A	OTHER	PUERTO RICO	MEDICARE PART A LAB
2	401818	OTHER	PUERTO RICO	MEDICARE PART A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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