# PREMIER MEDICAL CNTR OF HUMACAO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790239762
- **Authorized official:** MS. TAMARA B WHITE (VP, REV. CYCLE SERVICES)
- **Authorized official phone:** (225) 239-7190

## Contact information

- **Practice address:** AVE. BOULEVARD SUR, TORRE PISO 1, BOULEVARD DEL RIO OFFICE CENTER, BO. RIO ABAJO, HUMACAO, PR 00791-0000
- **Practice address phone:** (787) 656-2727
- **Practice address fax:** (787) 656-2732
- **Mailing address:** 10319 JEFFERSON HWY, BATON ROUGE, LA 70809-2730
- **Mailing address phone:** (225) 214-9352
- **Mailing address fax:** (225) 214-9349

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2016
- **Last updated:** 07/21/2022