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Organization
PREMIUM COMMUNITY CLINIC LLC
Active
Organization
PREMIUM COMMUNITY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNY YVETTE MARRERO MELENDEZ (PRESIDENT)
(787) 444-4211
Entity
Organization
Contact information
Practice address
4X2 AVE NOGAL, LOMAS VERDES, BAYAMON, PR 00956-2967
(787) 444-4211
(787) 791-6273
Mailing address
PO BOX 51881, TOA BAJA, PR 00950-1881
(787) 444-4211
(787) 791-6273
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
PR
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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