| Premier Medical Cntr Of Humacao Llc | |
|
Ave. Boulevard Sur, Torre Piso 1 Boulevard Del Rio Office Center, Bo. Rio Abajo Humacao PR 00791-0000 | |
| (787) 656-2727 | |
| (787) 656-2732 |
| Full Name | Premier Medical Cntr Of Humacao Llc |
|---|---|
| Speciality | Clinic/center |
| Location | Ave. Boulevard Sur, Torre Piso 1, Humacao, Puerto Rico |
| Authorized Official Name and Position | Tamara B White (VP, REV. CYCLE SERVICES) |
| Authorized Official Contact | 2252397190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Cntr Of Humacao Llc 10319 Jefferson Hwy Baton Rouge LA 70809-2730 Ph: (225) 214-9352 | Premier Medical Cntr Of Humacao Llc Ave. Boulevard Sur, Torre Piso 1 Boulevard Del Rio Office Center, Bo. Rio Abajo Humacao PR 00791-0000 Ph: (787) 656-2727 |
| NPI Number | 1790239762 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790239762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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