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Organization

PHM MULTIDISCIPLINARY CLINIC LLC

Active
Parent organization
-
Other names
Clinica de Vega Baja
Organization subpart
Yes

Provider details

NPI number
Legal business name
-
Authorized official
ROBERTO LUIS BENGOA (PRESIDENTE)
(787) 625-2500
Entity
Organization

Contact information

Practice address
B11 CALLE 2, URBANIZACION VILLA REAL, VEGA BAJA, PR 00693
(787) 858-1156
Mailing address
1551 CALLE ALDA SUITE 201 URB CARIBE, SAN JUAN, PR 00926
(787) 650-2732
(787) 650-2734

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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