Phm Multidisciplinary Clinic LLC

NPI #1154899128 in Vega Baja, Puerto Rico

Provider Information

NPI Number: 1154899128
Entity Type: Organization
Organization Name: Phm Multidisciplinary Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: -
Primary Specialty: Specialist
Enumeration Date: Nov 8, 2018
Last Updated: Nov 8, 2018

Practice Location

Address: B11 CALLE 2
Address 2: URBANIZACION VILLA REAL
City: Vega Baja
State: Puerto Rico
ZIP Code: 00693
Phone: (787) 858-1156

Authorized Official

Name: ROBERTO LUIS BENGOA
Title: PRESIDENTE
Phone: (787) 625-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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