Organization
PREMIUM HEALTH GROUP CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ VILLANUEVA (CEO)
(787) 253-1101
Entity
Organization
Contact information
Practice address
LAGUNA GARDENS SHOPPING CENTER, SUITE 101-A, CAROLINA, PR 00979
(787) 791-7287
Mailing address
LAGUNA GARDENS SHOPPING CENTER, SUITE 101-A, CAROLINA, PR 00979
(787) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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