| NPI | 1811695034 |
|---|---|
| Former Legal Business Name | PRIMARY HEALTH ADVANCED MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN M MARQUEZ Md 787-242-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 103T00000X Psychologist | |
| 207Q00000X Family Medicine | |
| 103TF0000X Psychologist, Family | |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 207R00000X Internal Medicine | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |