Healthcare Provider Details

I. General information

NPI: 1568382471
Provider Name (Legal Business Name): PRIMARY CARE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 AVE HOSTOS SUITE 205
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

351 AVE HOSTOS SUITE 205
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-831-5831
  • Fax: 787-827-8020
Mailing address:
  • Phone: 787-831-5831
  • Fax: 787-827-8020

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: ALEGANDRA ENID GONZALEZ VEGA
Title or Position: PRESIDENT
Credential: MD, CAQSM
Phone: 787-831-5831