Provider Demographics
NPI:1396286118
Name:PRIMARY MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:PRIMARY MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-734-6207
Mailing Address - Street 1:40 AVE LUIS MUNOZ RIVERA FINAL
Mailing Address - Street 2:HOSPITAL CESAR COLLAZO
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:US
Mailing Address - Phone:787-734-6207
Mailing Address - Fax:
Practice Address - Street 1:40 AVE LUIS MUNOZ RIVERA FINAL
Practice Address - Street 2:HOSPITAL CESAR COLLAZO
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-6207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15444261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service