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Eisenhower Army Medical Center — NPI 1770798316, Fort Buchanan, PR | NPI Central

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OrganizationActive

Eisenhower Army Medical Center

NPI 1770798316 · Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Buchanan, PR

Provider details

NPI number: 1770798316
Entity type: Organization
Primary specialty: Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Eisenhower Army Medical Center
Organization subpart: Yes
Authorized official: Marvin Primos, Ubo Manager(706) 787-7204

Specialties & taxonomies

Military/U.S. Coast Guard Outpatient Clinic/CenterPrimary261QM1100X
Ambulatory Health Care Facilities
Military/U.S. Coast Guard Pharmacy332000000X
Suppliers

Practice location

21 Chrisman Rd

Fort Buchanan, PR 00934-4519

Phone: (706) 787-5811

More PR providers

Mailing address

300 W Hospital Rd Bldg W

Fort Gordon, GA 30905-5741

Other names (DBA / former)

Doing business as: Rodriguez Army Health Clinic-Ft. Buchanan

Registry dates

Enumerated: 2007-05-14
Last updated: 2013-01-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.