Healthcare Provider Details

I. General information

NPI: 1710807904
Provider Name (Legal Business Name): PRIMERO SALUD PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEMORIAL DR STE 210
LEOMINSTER MA
01453-2238
US

IV. Provider business mailing address

50 MEMORIAL DR STE 210
LEOMINSTER MA
01453-2238
US

V. Phone/Fax

Practice location:
  • Phone: 706-627-3250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARILYN GEER RIVERA
Title or Position: PRIMARY CARE PROVIDER
Credential: MS, FNP-BC
Phone: 706-627-3250