Organization
PHM MULTIDISCIPLINARY CLINIC LLC
Active
Parent organization
PHM MULTIDISCIPLINARY CLINIC LLC
Other names
Clinica de Cabo Rojo
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHM MULTIDISCIPLINARY CLINIC LLC
Authorized official
ROBERTO LUIS BENGOA (PRESIDENTE)
(787) 625-2500
Entity
Organization
Contact information
Practice address
GALERIA 100 SHOPPING CENTER CARRETERA 100 KM 6.6, CABO ROJO, PR 00623
(787) 658-1389
(787) 658-1392
Mailing address
1551 CALLE ALDA STE 201, SAN JUAN, PR 00926-2709
(787) 650-2732
(787) 650-2734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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