# PLATINUM HEALTH CARE MANAGEMENT GROUP LLC

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

## Provider details

- **NPI number:** 1124590732
- **Authorized official:** DR. JORGE MEJIA VALLE MD (PRESIDENT)
- **Authorized official phone:** (787) 366-7726

## Contact information

- **Practice address:** 121 URB EL VEDADO CALLE LOAIZA CORDERO, SAN JUAN, PR 00918
- **Practice address phone:** (787) 545-2718
- **Practice address fax:** (787) 545-2794
- **Mailing address:** 130 WINSTON CHURCHILL AVE, PMB 359 SUITE 1, SAN JUAN, PR 00926-0734
- **Mailing address phone:** (787) 545-2718
- **Mailing address fax:** (787) 545-2794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2018
- **Last updated:** 02/12/2019