Organization
LOS ANGELES MEDICAL CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRIAM SAEZ MD (PRESIDENT)
(787) 721-0429
Entity
Organization
Contact information
Practice address
1400 CALLE SAN RAFAEL, ESQ HIPODROMO SUITE 201, SANTURCE, PR 00909-2644
(787) 721-6626
(787) 725-1287
Mailing address
1400 CALLE SAN RAFAEL, ESQ HIPODROMO SUITE 201, SAN JUAN, PR 00909-2693
(787) 721-6626
(787) 725-1287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1820
PR
103TC0700X
Clinical Psychologist
70
PR
207Q00000X
Family Medicine Physician
013924
PR
207Q00000X
Family Medicine Physician
11058
PR
207R00000X
Internal Medicine Physician
9251
PR
207RC0000X
Cardiovascular Disease Physician
4847
PR
207RP1001X
Pulmonary Disease Physician
8908
PR
207V00000X
Obstetrics & Gynecology Physician
10561
PR
208100000X
Physical Medicine & Rehabilitation Physician
15909
PR
208D00000X
General Practice Physician
16296
PR
208D00000X
General Practice Physician
Primary
16341
PR
225100000X
Physical Therapist
624
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04486
AMERICAN HEALTH INC
PR
01
—
3153261
UIA
PR
01
—
3842
AMERICAN HEALTH MEDICARE
PR
01
—
4172
PMC
PR
01
—
4965
PALI
PR
01
—
9080048
HUMANA
PR
01
—
9090182
HUMANA
PR
Enumeration date
02/08/2006
Last updated
08/17/2018
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