Pgic Healthcare Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PGIC HEALTHCARE INC

Doing business as

Prime Health Care Center

Practice address

1495 Forest Hill Blvd Ste A3
West Palm Beach, FL 33406-6073

Phone

(561) 270-0267

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Paula Maria Gonzalez Perez, NURSE PRACTITIONERNPI 1720635386

Title

Owner/Nurse Practitioner - Family

Phone

(786) 567-2561

Specialties & licenses 1

Addresses

Other names 1

• PRIME HEALTH CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Paula Maria Gonzalez Perez

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1720635386
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1447929468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TUCKER RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066586",
            "telephone_number": "786-567-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD STE A3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-270-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGIC HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ PEREZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER - FAMILY",
        "authorized_official_telephone_number": "786-567-2561",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara S Petrelli, LCSW
• Demetrios Petris
• David A Petruska, M.D.
• Raquel Pfeffer
• Aaron Pfeifer
• Khoa Pham, DPM
• Luan Dinh Pham, PHARMD
• Quynhnhu Pham, DDS, MS
• Danielson Pharaud
• Phases Detox, LLC

• Primary Care Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.