PHM MULTIDISCIPLINARY CLINIC LLC (NPI# 1174079537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174079537 |
| Entity Type | Organization |
| Organization Name | PHM MULTIDISCIPLINARY CLINIC LLC |
| Practice Address |
1551 Calle Alda Suite 201 San Juan PR 00926-2709 |
| Mailing Address |
1551 Calle Alda Suite 201 Urb. Caribe San Juan PR 00926-2709 |
| Practice Telephone | 7876252500 |
| Practice Fax Number | 7876250294 |
| Mailing Telephone | 7876502732 |
| Mailing Fax Number | 7876502734 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | WALESKA MARRERO (MEDICAL AND HEALTH SERVICES DIRECTO) |
| Authorized Official Telephone | 7174078764 |
| Authorized Official Credential | LCDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154899128 | Phm Multidisciplinary Clinic LLC | Specialist | B11 Calle 2, Urbanizacion Villa Real, Vega Baja, PR 00693 | 2018-11-08 |
| 1285102269 | Phm Multidisciplinary Clinic LLC | Specialist | Galeria 100 Shopping Center Carretera 100 Km 6.6, Cabo Rojo, PR 00623 | 2018-11-07 |
| 1720505548 | Phm Multidisciplinary Clinic LLC | Prevention Professional | Bo. Victoria Carretera 2 Km 129.3, Aguadilla, PR 00603 | 2017-08-23 |
| Street Address |
1551 CALLE ALDA SUITE 201 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154539898 | Advantage Medical Group | Point of Service | 1551 Calle Alda, Suite 201 Urb. Caribe, San Juan, PR 00926-2709 | 2007-05-18 |
| 1255897252 | Phm Intrahospital Physician Group, LLC | Family Medicine | 1551 Calle Alda, Urb. Caribe, San Juan, PR 00926 | 2019-02-14 |
| 1154898575 | Consorcio Multisalud Del Oeste, Inc. | Family Medicine | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926 | 2018-10-24 |
| 1922575240 | Consorcio Multisalud Del Este, Inc. | Family Medicine | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926 | 2018-10-24 |
| 1174023568 | Yahaira Aileen Feliciano | Nutritionist | 1551 Calle Alda, San Juan, PR 00926-2709 | 2018-02-13 |
| 1952843179 | Advantage Physician Group, LLC | Exclusive Provider Organization | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926 | 2016-11-07 |
| 1033541271 | Accountable Care Organization of Pr Dba Aco Salud | Specialist | 1551 Calle Alda, San Juan, PR 00926-2709 | 2013-07-30 |
| 1386085496 | Integrated Primary Organization Southeast Inc | Specialist | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926-2709 | 2013-07-17 |
| 1285075747 | Integrated Primary Organization Southeast Inc | General Practice | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926-2709 | 2013-07-12 |
| 1831530492 | Integrated Primary Organization Southwest Inc | Specialist | 1551 Calle Alda, Urb Caribe, San Juan, PR 00926-2709 | 2013-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1780227504 | Pravan Wellness, LLC | Clinic/Center | 1511 Ave Ponce De Leon Ste 3, San Juan, PR 00909-5001 | 2019-10-24 |
| 1942858428 | Upper Cervical Chiropractic of Puerto Rico | Clinic/Center | 254 Avenida Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
| 1669835161 | Centro Ararat | Clinic/Center | 1503 Calle Prof Augusto Rodrigues Bld Asis, Suite 600, San Juan, PR 00919 | 2016-04-01 |
| 1376902759 | Women's Wellness & Antiaging Medical Spa,psc | Clinic/Center | 1565 Alda St, Urb Caribe, San Juan, PR 00926 | 2016-02-15 |
| 1730550393 | Grupo Medico Del Norte Inc. | Clinic/Center | 804 Ave Ponce De Leon, Suite 101a, San Juan, PR 00907-3301 | 2015-10-08 |
| 1417345612 | Centro Vacunin | Clinic/Center | 161 Calle Cesar Gonzalez Apdo 17, Pavilion Court, San Juan, PR 00917 | 2014-12-23 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.