PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO – NPI #1134873235
Clinic/Center

PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO is an AHC clinic located in LUQUILLO, PR. NPPES has assigned the NPI number 1134873235 to PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO on February 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 4 years ago on Feb 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO below.

NPI Profile for
PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO

NPI Number
1134873235
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO
Primary location
CALLE 14 DE JULIO NO 159
BO MATA DE PLATANO
LUQUILLO, PR 00773
Phone: (787) 885-4446 Fax: (787) 885-6129
Mailing address
PO BOX 818
CEIBA, PR 00735-0818
Phone: (787) 534-3789 Fax: (787) 885-2525
Organization Subpart
No
Authorized Official
KEILA CENTENO
ADMINISTRATOR
Phone: (787) 534-3789
Updated
Certification Date
Feb 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.