Organization
PREMIER MEDICAL CNTR OF HUMACAO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA B WHITE (VP, REV. CYCLE SERVICES)
(225) 239-7190
Entity
Organization
Contact information
Practice address
AVE. BOULEVARD SUR, TORRE PISO 1, BOULEVARD DEL RIO OFFICE CENTER, BO. RIO ABAJO, HUMACAO, PR 00791-0000
(787) 656-2727
(787) 656-2732
Mailing address
10319 JEFFERSON HWY, BATON ROUGE, LA 70809-2730
(225) 214-9352
(225) 214-9349
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
07/21/2022
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