Active NPIOrganization

Premium Health Group Clinic LLC

Radiology, Diagnostic Radiology in Carolina, Puerto Rico

NPI Number1558929752
Practice location
Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979
Fax
—
Last updated
May 7, 2020

Premium Health Group Clinic LLC is a healthcare organization based in Carolina, PR. Premium Health Group Clinic LLC practices in Carolina, PR. The NPI Number for Premium Health Group Clinic LLC is 1558929752. The current practice location address for Premium Health Group Clinic LLC is Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979 and can be reached out via phone at 787-444-4908.

Provider Profile Details

NPI Number
1558929752
Provider Name
Premium Health Group Clinic LLC
Provider Entity Type
Organization
Address
Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979
Phone Number
787-444-4908
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Organization Subpart
Yes
Parent Organization
Premium Health Group Clinic LLC
Authorized Official
Luz Villanueva · Ceo · 787-253-1101
Provider Enumeration Date
June 3, 2019
Last Update Date
May 7, 2020
Certification Date
May 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Laguna Gardens Shopping Center
Suite 101A
Carolina, PR 00979
Zip
00979
Phone Number
787-444-4908
Carolina, PR 00979Get directions →

Provider Business Mailing Address Details

Address
Laguna Gardens Shopping Center
Suite 101A
Carolina, PR 00979
City
Carolina
State
PR
Zip
00979
Phone Number
787-444-4908

License Information

Taxonomy (1)
Radiology, Body Imaging · 2085B0100X
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X · 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 LLC?

The NPI number of Premium Health Group Clinic LLC is 1558929752. It was assigned on June 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Premium Health Group Clinic LLC?

Premium Health Group Clinic LLC is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X).

Where does Premium Health Group Clinic LLC practice?

The practice location is Laguna Gardens Shopping Center, Suite 101A, Carolina, PR 00979. The office can be reached at 787-444-4908 (phone).

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 1558929752 directly on the NPPES registry website.

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