PREMIUM HEALTH GROUP CLINIC LLC (NPI# 1871115279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871115279 |
| Entity Type | Organization |
| Organization Name | PREMIUM HEALTH GROUP CLINIC LLC |
| Practice Address |
Laguna Gardens Shopping Center Suite 101-a Carolina PR 00979 |
| Practice Telephone | 7877917287 |
| Mailing Telephone | 7877917287 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | MRS. LUZ VILLANUEVA (CEO) |
| Authorized Official Telephone | 7872531101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558929752 | Premium Health Group Clinic LLC | Radiology | Laguna Gardens Shopping Center, Suite 101a, Carolina, PR 00979 | 2019-06-03 |
| Street Address |
LAGUNA GARDENS SHOPPING CENTER SUITE 101-A |
| City | CAROLINA |
| State | PR |
| Zip Code | 00979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215029046 | Gustavo Rivera Cruz | Psychiatry & Neurology | Laguna Gardens Shopping Center, Suite 211, Carolina, PR 00979 | 2006-09-29 |
| 1487251492 | Leonardo R Diaz | Nutritionist | Laguna Gardens Shopping Center, Suite 101-a, Carolina, PR 00979 | 2020-10-02 |
| 1558929752 | Premium Health Group Clinic LLC | Radiology | Laguna Gardens Shopping Center, Suite 101a, Carolina, PR 00979 | 2019-06-03 |
| 1841686524 | Laboratorio Clinico M. Landron, Inc. | Clinical Medical Laboratory | Laguna Gardens Shopping Center, Suite 208, Carolina, PR 00981 | 2015-04-09 |
| 1629315650 | Dayra D Quiles-perez | Psychologist | Laguna Gardens Shopping Center, Suite 249-2, Carolina, PUERTO RICO 00979 | 2013-01-10 |
| 1447519988 | Prodessional Audio Services, Inc. | Preferred Provider Organization | Laguna Gardens Shopping Center, Suite 248, Carolina, PR 00979-6525 | 2012-05-03 |
| 1497023592 | Laguna Gardens Radiology and Imaging Group Inc. | Clinic/Center | Laguna Gardens Shopping Center, Suite 106, Carolina, PR 00979-6425 | 2011-12-05 |
| 1306071451 | Premium Health Group Clinic | Clinic/Center | Laguna Gardens Shopping Center, Suite 101a, Carolina, PR 00979 | 2009-05-19 |
| 1164682456 | Physiatric and Emergency Health Services Psc | Physical Medicine & Rehabilitation | Laguna Gardens Shopping Center, Suite 116 Primer Nivel, Carolina, PR 00985 | 2008-06-11 |
| 1083830970 | Norberto Medina Pellicer | Dentist | Laguna Gardens Shopping Center, Suite 200, Carolina, PR 00979 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769254 | Irma Cristina Acevedo | Psychologist | St. Palma De Sombrero #2, Urb. Villas Del Palmar Sur, Carolina, PR 00979 | 2020-08-06 |
| 1306468145 | Celia Rivera | Social Worker | 42 Calle Lucero, Urb. Los Angeles, Carolina, PR 00979 | 2020-05-14 |
| 1659922771 | Neyda Rosa Estremera | Technician | Condomino Waldorf Towers Apt. 1202, 4123 Ave. Isla Verde, Carolina, PR 00979 | 2019-09-20 |
| 1891351417 | Cesar G. Gerena Candal | General Practice | 1906 Cond Mundo Feliz, Carolina, PR 00979 | 2019-05-20 |
| 1770054298 | Movitaxi | Ambulance | 5870 Calle Tartak Apart 2104, Condominio Costa Del Sol, Carolina, PR 00979 | 2018-12-10 |
| 1720569973 | Soobin Maeng | General Practice | Condominio Playa Dorada Torres B Ph 12, Carolina, PR 00979 | 2018-08-26 |
| 1780170514 | Mayelin Amoros Duquesne | Internal Medicine | 5347 Ave Isla Verde, Marbella Oeste 1814, Carolina, PR 00979 | 2018-07-04 |
| 1851886741 | Carl L Palermo | Independent Medical Examiner | 7041 Calle 187 Apt 609a, Carolina, PR 00979 | 2018-06-25 |
| 1548753338 | Carol Stephanie Gonzalez | Psychologist | Isla Verde Mall, Avenida Los Gobernadores, Suite 218, Carolina, PR 00979 | 2018-06-07 |
| 1104323906 | Hospitalist Medical Services, Psc | Anesthesiology | Edificio Jesus T Pinero Ave Fernandez Juncos Bo Pueblo, Carolina, PR 00979 | 2018-04-09 |
| Find all providers in zip 00979 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215492640 | Pr Professional Medical Services | Clinic/Center | 1400 De Diego 136, Escorial Building One, Carolina, PR 00984 | 2019-02-11 |
| 1699213041 | Servicios Clinicos Del Este Inc | Clinic/Center | Carr 190 Km 1.8, Boca Cangrejo, Carolina, PR 00983 | 2017-02-06 |
| 1134543234 | Best X-ray Quality, Psc | Clinic/Center | Ave. Sanchez Vilella #10,000, Suite 104 Campo Rico Office Plaza, Carolina, PR 00983-6022 | 2014-02-10 |
| 1982947024 | Lmg Medical Services, Inc. | Clinic/Center | 4a-s2 Fragoso Ave., Villa Fontana, Carolina, PR 00985-7321 | 2013-03-27 |
| 1346570207 | Policlinica Dr. Luis Rodriguez Carrasquillo, Psc | Clinic/Center | Campo Rico St . A6, Castellana Gardens, Carolina, PR 00983 | 2009-12-28 |
| 1871732552 | Evolutions Chiropractic, Psc | Clinic/Center | Oa3 Calle 500, Country Club, Carolina, PR 00982-1814 | 2009-02-19 |
| 1114104809 | Intituto Puertorriqueno Med Integral | Clinic/Center | Ave Iturregui Mo 1, Carolina, PR 00982 | 2008-01-25 |
| 1225214372 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | Villa Carolina Calle 18 Blq. 22 #2, Carolina, PR 00985 | 2008-01-18 |
| 1497951172 | Metro Medical Service Care | Clinic/Center | Hw-36calle 253, Urb. Country Club, Carolina, PR 00982 | 2007-06-21 |
| 1801912514 | Departamento De Salud Oficial | Clinic/Center | Avenida 65 De Infanteria, Hospital De La Universidad De Pr, Carolina, PR 00919 | 2007-03-22 |
| Find all providers in CAROLINA | ||||
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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.