# PREMIUM NATURAL CARE .INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124387170
- **Authorized official:** LUZ M VILLANUEVA (CEO)
- **Authorized official phone:** (787) 253-1101

## Contact information

- **Practice address:** ESCORIAL OFFICE BUILDING ONE, 1400 AVE DE DIEGO SUITE 240, CAROLINA, PR 00987-4703
- **Practice address phone:** (787) 253-1101
- **Mailing address:** AVE. BAIROA B-1 ESQUINA GUARIONEX, CAGUAS, PR 00725
- **Mailing address phone:** (787) 791-7287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 05/11/2012