NPI 1013666031
Prime Directives Pm&r LLC
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
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.