Look up the most recent NPI and PECOS records

Eastern Primary Medical Services, P.S.C.

General Practice

Allopathic & Osteopathic Physicians

D12 Calle 1, Urb. El Vivero, Gurabo, PR 00778-2301

PECOS Enrollment

Based on the most recent information from CMS, provider Eastern Primary Medical Services, P.S.C. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1841200870
Provider Type
Organization
Full Name
Eastern Primary Medical Services, P.S.C.

Subpart
No
Enumeration Date
8/9/2006
Last Updated
10/17/2011

Contact Information

Practice Location

D12 Calle 1, Urb. El Vivero, Gurabo, PR 00778-2301

(787) 737-6082

Mailing Location

PO Box 1323, Gurabo, PR 00778-1323

(787) 737-6082

Authorized Official

Sanabria, Pedro (President)

(787) 737-6082

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 065428	Description Other	Issuer LA CRUZ AZUL - PROVIDER # Puerto Rico
ID 1304	Description Other	Issuer INTER MED CARD - PROV # Puerto Rico
ID 0085450A	Description Other	Issuer MEDICARE Puerto Rico
ID 584266586	Description Other	Issuer COSVI - PROVIDER # Puerto Rico
ID 2011627	Description Other	Issuer PREFERRED HEALTH - # PROV Puerto Rico
ID 775171	Description Other	Issuer HUMANA GOLD PLUS - PROV# Puerto Rico
ID 04351	Description Other	Issuer AMERICAN HEALTH - PROV # Puerto Rico
ID MEDICARE Y MUCHO MAS	Description Other	Issuer 500117SE - PROVIDER # Puerto Rico
ID 0085450	Description Other	Issuer MEDICARE Puerto Rico
ID 3511A	Description Other	Issuer PREFERR MED CHOI - PROV# Puerto Rico
ID 6580008	Description Other	Issuer HUMANA PR -ROVIDER # Puerto Rico

Eastern Primary Medical Services, P.S.C.

PECOS Enrollment

Profile Details

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