Organization
PREMIUM PROFESSIONAL HEALTH GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORBERTO MEDINA DMD (DUENO)
(787) 691-2419
Entity
Organization
Contact information
Practice address
AVE LAGUNA, SUITE 203, CAROLINA, PR 00979-6525
(787) 791-7287
Mailing address
AVE LAGUNA, SUITE 203, CAROLINA, PR 00979-6525
(787) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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