Organization
PREMIUM NATURAL CARE .INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ M VILLANUEVA (CEO)
(787) 253-1101
Entity
Organization
Contact information
Practice address
ESCORIAL OFFICE BUILDING ONE, 1400 AVE DE DIEGO SUITE 240, CAROLINA, PR 00987-4703
(787) 253-1101
Mailing address
AVE. BAIROA B-1 ESQUINA GUARIONEX, CAGUAS, PR 00725
(787) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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