Prime Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIME HEALTH LLC

Practice address

1368C Calle San Damian
San Juan, PR 00921-3712

Phone

(787) 459-9993

NPI assigned

Jan 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edgardo Javier Baez, MD

Title

Presidente

Phone

(787) 459-9993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharlene Alick Ortiz, MD

  • General Practice Physician
  • Guaynabo, PR
  • NPI 1922619857

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1013507698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368C CALLE SAN DAMIAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213712",
            "telephone_number": "787-459-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368C CALLE SAN DAMIAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213712",
            "telephone_number": "787-459-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-459-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dagmar E Prieto, MS PHL
• Jose Manuel Prieto, M.D.
• Primary Care & OB GYN
• Primary Care Medical Services, LLC
• Primary Physician Care PSC
• Primedical LLC
• Primedical Supply & Equipment, Corp.
• Primeros Auxilios, Inc.
• Lizangeli Principe, MA
• Priority Life Inc

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.