PREMIUM PEDIATRIC GROUP


Address: Calle 129 Ave San Luis, 129, Arecibo, PR 00614-0000
Phone: 7879559130

PREMIUM PEDIATRIC GROUP (NPI# 1962857631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962857631
Entity Type Organization
Organization Name PREMIUM PEDIATRIC GROUP
Other Organization Name PREMIUM PEDIATRIC GROUP PSC
Practice Address Calle 129 Ave San Luis
129
Arecibo
PR 00614-0000
Mailing Address 439 Guanica
Urb Sabanera
Dorado
PR 00646-0000
Practice Telephone 7879559130
Mailing Telephone 7879559130
Enumeration Date 2016-04-29
Last Update Date 2016-04-29
Authorized Official Name LUIS CRUZ (ADMINISTRADOR)
Authorized Official Telephone 7879559130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146D00000X Personal Emergency Response Attendant 12804 PR Emergency Medical Service Providers

Other Provider/Organization Names

Other Name Type Code
PREMIUM PEDIATRIC GROUP PSC Former Legal Business Name - Organization

Office Location

Street Address CALLE 129 AVE SAN LUIS
129
City ARECIBO
State PR
Zip Code 00614-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578104139 Mildred Marie Rios Speech-Language Pathologist Bo Carrozales, Arecibo, PR 00614 2019-10-04
1659732436 Jessica Cortes Velazquez Psychologist Carr 129 Km 8.0, Bo Campo Alegre, Arecibo, PR 00614 2016-03-08
1639548878 Veronica Perez Social Worker 108 Avenida Jose De Diego, Arecibo, PR 00614 2015-09-17
1164805503 Cathy Maldonado Rios Registered Nurse 108 Ave Jose De Diego, Areicbo, PR 00614 2015-07-02
1760887160 Luis Montalvo Bonilla Specialist 404 Ave. De Diego, Arecibo, PR 00614 2014-10-28
1427357862 The Golden Fennix Ambulance Service Inc Ambulance Buenos Aires, Calle Jose Olmo 317, Arecibo, PR 00614 2011-03-24
1568696052 Jose Luis Gabriel Emergency Medical Technician, Paramedic Calle Pedro Mora Acosta # 40, Urb. San Lorenzo, Arecibo, PR 00614 2009-05-12
1619114675 Luis F Gutierrez Padin Personal Emergency Response Attendant St # 18 House 369, Bo. Domingo Ruiz, Arecibo, PR 00614 2009-01-13
1932345006 Ramonita Cotte Personal Emergency Response Attendant Colinas De Palamarito, Calle Coral #2, Arecibo, PR 00614 2008-12-19
1962647636 Promed Amb Services & Sales Corp. Ambulance Km. 70.02 Carr. #2, Barrio Santana, Arecibo, PR 00614 2008-12-10
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Taxonomy Information

Taxonomy Code 146D00000X
Grouping Emergency Medical Service Providers
Classification Personal Emergency Response Attendant

Taxonomy Definition

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093038465 Clinica Dr Bague Personal Emergency Response Attendant Carr 681 Km 4.4, Islote, Arecibo, PR 00612-0000 2010-03-12
1801020888 Arecibo Medical Emergencies Inc Personal Emergency Response Attendant Calle 129, Sala Emergencia Hosp Cayetano Coll Y Toste, Arecibo, PR 00612 2009-05-06
1619114675 Luis F Gutierrez Padin Personal Emergency Response Attendant St # 18 House 369, Bo. Domingo Ruiz, Arecibo, PR 00614 2009-01-13
1932345006 Ramonita Cotte Personal Emergency Response Attendant Colinas De Palamarito, Calle Coral #2, Arecibo, PR 00614 2008-12-19
1316068703 Deliana Gonzalez Torres Personal Emergency Response Attendant Hc 3 Box 20680, Arecibo, PR 00612-9118 2007-04-03
1427091040 Salvador Lopez-rojas Personal Emergency Response Attendant Carretera Num. 2 Ramal 638 Km. 6.0 Miraflores, 638 Km. 6.0, Arecibo, PR 00612 2006-06-13
1013287192 Reynaldo Soto Personal Emergency Response Attendant 55 Calle Palma, 201, Arecibo, PR 00612-4526 2012-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811477474 Ricardo Javier Hernandez Personal Emergency Response Attendant 123 Calle Dorado, Isabela, PR 00662-2263 2018-08-14
1861996720 Liara Mabel Perez Personal Emergency Response Attendant C12 Aa 16 4ta Secc Villa Del Rey, Caguas, PR 00727 2018-03-23
1457712028 Luquillo Medical Services, LLC Personal Emergency Response Attendant 159 Calle 14 Julio, Luquillo, PR 00773 2016-03-10
1013332865 Nelson Homero Gil Garcia Personal Emergency Response Attendant Calle Primera D 6, Villa Maria, Manati, PR 00674 2014-03-03
1386949378 Advanced Pediatric Care, Psc Personal Emergency Response Attendant Street #2 Km. 11.7, Bayamon, PR 00960 2011-01-21
1245532738 Deyanira Torres Millan Personal Emergency Response Attendant Su88 Circulo Magico, Hormigueros, PR 00660-1219 2010-12-03
1114247855 Jessica B. Ibarra Personal Emergency Response Attendant La Milagrosa B6 Urb Garcia Ponce, Fajardo, PR 00738 2010-06-04
1902036635 Excellence Emergency Group Csp Personal Emergency Response Attendant Urb Costa Azul Calle 14 K 12, Guayama, PR 00784-0000 2009-07-15
1417183104 Michelle Fuentes Personal Emergency Response Attendant Hc 2 Box 20576, Aguadilla, PR 00603-9608 2009-06-08
1679715742 Javier Gonzalez Ocana Personal Emergency Response Attendant Agustin Ramos Calero Street, #23, Isabela, PR 00662 2009-04-03
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Competitor

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City ARECIBO
Zip Code 00614

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Dataset Information

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.

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