Tamayo, Primo R

Tamayo, Primo R is an individual health care provider with primary practice located at 2501 W Silver Spring Dr , Glendale WI 53209-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tamayo, Primo R can be contacted via phone (414) 461-9250.

Contact Information

Primary practice address
2501 W Silver Spring Dr Glendale WI 53209-4217
Phone: (414) 461-9250
Fax: (414) 461-3553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17680 Wisconsin

Profile Details

NPI number 1093738015
LBN Legal business name Tamayo, Primo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093738015 NPPES
Wisconsin MEDICAID 30903600

Popular Providers