NPI 1336561166

Primary Care Providers Network, LLC

Organisation Preferred Provider Organization Bayamon, PR

Practice location

Address: 20 Calle Santa Cruz, Bayamon, PR 00961-6906
Phone: (787) 778-0315
Fax: (787) 778-0330

Authorised official

Name: Omar a Candelas
Title: Vice President
Phone: (787) 778-0315

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Puerto Rico →

Registry record

NPI: 1336561166
Entity type: Organization
NPI issued: 14 Jan 2014
Record last updated: 14 Jan 2014

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.