# PHM MULTIDISCIPLINARY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica de Arecibo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467979286
- **Authorized official:** MRS. WALESKA MARRERO (MEDICAL AND HEALTH SERVICES DIRECTO)
- **Authorized official phone:** (787) 407-8764

## Contact information

- **Practice address:** BO SAN DANIEL KM 81.3, ARECIBO, PR 00612
- **Practice address phone:** (787) 650-2732
- **Practice address fax:** (787) 650-2734
- **Mailing address:** 1551 CALLE ALDA STE 201, SAN JUAN, PR 00926-2709
- **Mailing address phone:** (787) 650-2732
- **Mailing address fax:** (787) 650-2734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 08/23/2017