Coamo Primary Healthcare Services LLC
Organization Active NPI Internal Medicine Physician · Coamo, PR
NPI 1386448587 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1386448587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COAMO PRIMARY HEALTHCARE SERVICES LLC
- Practice address
- 94 Calle Jose I Quinton
Coamo, PR 00769-3107 - Phone
- (787) 404-9005
- NPI assigned
- Apr 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Karim Saleh Vega
- Title
- President
- Phone
- (787) 404-9005
Practitioners 1
-
Karim Saleh Vega, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251120003190 | PR | Part B Supplier - Clinic/Group Practice | 5294244943 |
Receives reassigned benefits from 1 practitioner Practice locations: Coamo, PR |
National Provider Directory
Locations
94 Calle Jose I Quinton
#A
Coamo, PR 00769
Phone (787) 803-2662
94 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 219-7866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Chiropractor |
111N00000X | |||
| Nutritionist |
133N00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| General Practice Physician |
208D00000X | |||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
94 Calle Jose I Quinton
Coamo, PR 00769-3107
Mailing address
94 Calle Jose I Quinton
Coamo, PR 00769-3107
Phone (787) 404-9005
Other practice location 1
Carr. A-4 510 KM 2 HM 9
Sabana Llana La Fe Mini Mall
Juana Diaz, PR 00795
Phone (787) 404-9005
Other providers in Coamo, PR
- Clinica Quiropractica Correctiva Santa Isabel
- Clinica Terapeutica Atletica Loavi
- Coamo Health Institute
- Coamo Imaging Center
- Coamo Medical Transport, LLC
- Coamo Primary Healthcare Services, PSC
- Edwin Coimbre Cartagona Sr.
- Ilsa M Collazo
- Maria Del Carmen Collazo Sr.
- Rosed Nicole Colon Fernandez
All providers in Coamo, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.