| Premium Professional Health Group Psc | |
|
Ave Laguna Suite 203 Carolina PR 00979-6525 | |
| (787) 791-7287 | |
| Not Available |
| Full Name | Premium Professional Health Group Psc |
|---|---|
| Speciality | Clinic/center |
| Location | Ave Laguna, Carolina, Puerto Rico |
| Authorized Official Name and Position | Norberto Medina (DUENO) |
| Authorized Official Contact | 7876912419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Professional Health Group Psc Ave Laguna Suite 203 Carolina PR 00979-6525 Ph: (787) 791-7287 | Premium Professional Health Group Psc Ave Laguna Suite 203 Carolina PR 00979-6525 Ph: (787) 791-7287 |
| NPI Number | 1780902312 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780902312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Puerto Rico) | Primary |
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