Whalio Doctors

NPI 1013666031

Prime Directives Pm&r LLC

Organisation Physical Medicine & Rehabilitation Physician Lakewood, OH

Practice location

Address
11800 Edgewater Dr APT 715, Lakewood, OH 44107-1755
Phone
(440) 345-9300
Mailing address
PO Box 660, Mentor, OH 44061-0660

Authorised official

Name
Nina Carmela R Tamayo
Title
Ceo
Phone
(708) 525-1058

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X

Registry record

NPI
1013666031
Entity type
Organization
NPI issued
18 Mar 2022
Record last updated
8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.