Active NPIOrganization

Premium Health Group Clinic

Clinic/Center, Health Services in Carolina, Puerto Rico

NPI Number1306071451
Practice location
Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979
Fax
787-791-6273
Last updated
October 20, 2020

Premium Health Group Clinic is a healthcare organization based in Carolina, PR. Premium Health Group Clinic practices in Carolina, PR. The NPI Number for Premium Health Group Clinic is 1306071451. The current practice location address for Premium Health Group Clinic is Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979 and can be reached out via phone at 787-253-1101 and via fax at 787-791-6273.

Provider Profile Details

NPI Number
1306071451
Provider Name
Premium Health Group Clinic
Provider Entity Type
Organization
Address
Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979
Phone Number
787-253-1101
Fax Number
787-791-6273
Primary Taxonomy
Clinic/Center, Health Services · 261QH0100X
Organization Subpart
No
Authorized Official
Dr. Alex Carrasquillo, DMD · Administrator · 787-253-1101
Provider Enumeration Date
May 19, 2009
Last Update Date
October 20, 2020
Certification Date
October 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Laguna Gardens Shopping Center
Suite 101A
Carolina, PR 00979
Zip
00979
Phone Number
787-253-1101
Fax Number
787-791-6273
Carolina, PR 00979Get directions →

Provider Business Mailing Address Details

Address
Laguna Gardens Shopping Center
Suite 101-A
Carolina, PR 00979
City
Carolina
State
PR
Zip
00979
Phone Number
787-253-1101
Fax Number
787-791-6273

License Information

Taxonomy (1)
Clinic/Center, Radiology · 261QR0200X
Taxonomy (2)
Clinic/Center, Health Services · 261QH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premium Health Group Clinic?

The NPI number of Premium Health Group Clinic is 1306071451. It was assigned on May 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Premium Health Group Clinic?

Premium Health Group Clinic is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).

Where does Premium Health Group Clinic practice?

The practice location is Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979. The office can be reached at 787-253-1101 (phone) or 787-791-6273 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306071451 directly on the NPPES registry website.

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