Organization
PHM MULTIDISCIPLINARY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALESKA MARRERO LCDA (MEDICAL AND HEALTH SERVICES DIRECTO)
(717) 407-8764
Entity
Organization
Contact information
Practice address
1551 CALLE ALDA, SUITE 201, SAN JUAN, PR 00926-2709
(787) 625-2500
(787) 625-0294
Mailing address
1551 CALLE ALDA SUITE 201 URB. CARIBE, SAN JUAN, PR 00926-2709
(787) 650-2732
(787) 650-2734
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
12/08/2017
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