Organization
PHM SPECIALTY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO L. BENGOA (PRESIDENT)
(787) 625-2500
Entity
Organization
Contact information
Practice address
CALLE ALDA 1551, URB. CARIBE, SAN JUAN, PR 00926
(787) 625-2500
Mailing address
CALLE ALDA 1551, URB. CARIBE, SAN JUAN, PR 00926
(787) 625-2500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
03/09/2020
Last updated
06/03/2020
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