# PHM MULTIDISCIPLINARY CLINIC CABO ROJO LLC

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

## Provider details

- **NPI number:** 1588270490
- **Authorized official:** ROBERTO L BENGOA (PRESIDENT)
- **Authorized official phone:** (787) 625-2500

## Contact information

- **Practice address:** PR 100, GALERIA 100 SHOPPING CENTER LOT NO. 13, CABO ROJO, PR 00623
- **Practice address phone:** (787) 625-2500
- **Mailing address:** 1551 ALDA ST, URB. CARIBE, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 625-2500

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020