Organization
PREMIUN HEALTH CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YAMILET LOPEZ MBA (PRESIDENT)
(787) 562-5168
Entity
Organization
Contact information
Practice address
1519 AVE PONCE DE LEON, SUITE 1201, SAN JUAN, PR 00910-0000
(787) 562-5168
(787) 722-2371
Mailing address
1519 AVE PONCE DE LEON, SUITE 1201, SAN JUAN, PR 00910-0000
(787) 562-5168
(787) 722-2371
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
331348
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331348
LLC
PR
Enumeration date
10/18/2013
Last updated
10/18/2013
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