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Premium Community Clinic Llc
Community Health Clinic/Center in Bayamon, N/A
NPI 1811337876

Premium Community Clinic Llc is a Community Health Clinic/Center based in Toa Baja, and is specialized in Community Health. Premium Community Clinic Llc practices in Bayamon, . The NPI Number for Premium Community Clinic Llc is 1811337876 and holds a License No. (N/A).

The current practice location address for Premium Community Clinic Llc is 4X2 Ave Nogal, Bayamon, and can be reached out via phone at 787-444-4211 and via fax at 787-791-6273.

Location: 4X2 Ave Nogal, Bayamon, , 00950-1881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811337876
Provider Name
Premium Community Clinic Llc
Credential
Provider Entity Type
Organization
Address
4X2 Ave Nogal, Bayamon, , 00950-1881
Phone Number
787-444-4211
Fax Number
787-791-6273
Provider Enumeration Date
07/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4021902 01 PR DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
4X2 Ave Nogal
City
Bayamon
State
Zip
00956-2967
Phone Number
787-444-4211
Fax Number
787-791-6273
person
Provider Business Mailing Address Details
Address
4X2 Ave Nogal
City
Bayamon
State
Zip
00956-2967
Phone Number
787-444-4211
Fax Number
787-791-6273
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
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