# LOS ANGELES MEDICAL HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Angeles Medical Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003011479
- **Authorized official:** MRS. DIANA IRIS MATOS (BILLING SUPERVISOR)
- **Authorized official phone:** (787) 721-6626

## Contact information

- **Practice address:** 1400 CALLE SAN RAFAEL, SUITE 201, SAN JUAN, PR 00909-2693
- **Practice address phone:** (787) 721-6626
- **Practice address fax:** (787) 725-1287
- **Mailing address:** 1400 CALLE SAN RAFAEL, SUITE 201, SAN JUAN, PR 00909-2693
- **Mailing address phone:** (787) 721-6626
- **Mailing address fax:** (787) 725-1287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 0070 | PR | — |
| 103TC0700X | Clinical Psychologist | 1820 | PR | — |
| 207Q00000X | Family Medicine Physician | 011058 | PR | — |
| 207R00000X | Internal Medicine Physician | 9251 | PR | — |
| 207RC0000X | Cardiovascular Disease Physician | 4847 | PR | — |
| 207RP1001X | Pulmonary Disease Physician | 8908 | PR | — |
| 207V00000X | Obstetrics & Gynecology Physician | 010561 | PR | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 15909 | PR | — |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 09/11/2025