PHM MULTIDISCIPLINARY CLINIC LLC (NPI# 1154899128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154899128 |
| Entity Type | Organization |
| Organization Name | PHM MULTIDISCIPLINARY CLINIC LLC |
| Practice Address |
B11 Calle 2 Urbanizacion Villa Real Vega Baja PR 00693 |
| Mailing Address |
1551 Calle Alda Suite 201 Urb Caribe San Juan PR 00926 |
| Practice Telephone | 7878581156 |
| Mailing Telephone | 7876502732 |
| Mailing Fax Number | 7876502734 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | ROBERTO LUIS BENGOA (PRESIDENTE) |
| Authorized Official Telephone | 7876252500 |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Clinica de Vega Baja | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1174079537 | Phm Multidisciplinary Clinic LLC | Clinic/Center | 1551 Calle Alda, Suite 201, San Juan, PR 00926-2709 | 2016-08-26 |
| Street Address |
B11 CALLE 2 URBANIZACION VILLA REAL |
| City | VEGA BAJA |
| State | PR |
| Zip Code | 00693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860356 | Artech Dental Psc | Dentist | 454 Carr. 155 Km 68.1, Bo. Algarrobo, Vega Baja, PR 00693 | 2020-10-30 |
| 1912504580 | Nathaly A. Schelmetty Diaz | Occupational Therapy Assistant | Brisas De Tortuguero, Calle Rio Bairoa #32, Vega Baja, PR 00693 | 2020-10-06 |
| 1487261665 | Yaritza Edith Camacho Ortiz | Speech-Language Pathologist | Carr. 160 Barrio Almirante Norte, Sector El Indio C/casimar #296, Vega Baja, PR 00693 | 2020-09-30 |
| 1285241216 | Ada O. Jove | Pharmacist | Carr. #2 Kin 429 Bo Deliqarubc, Vega Pega, PR 00693 | 2020-09-24 |
| 1982219028 | Nahara Monroig Gutierrez | Physical Therapist | Ciudad Real C/ Alva 451, Vega Baja, PR 00693 | 2020-09-15 |
| 1891305876 | Nicole Marie Febles | Student in an Organized Health Care Education/Training Program | Calle 2 B30 Vega Baja Lakes, Vega Baja, PR 00693 | 2020-08-05 |
| 1174132955 | Adriana Carolina Candelaria Jimenez | Student in an Organized Health Care Education/Training Program | 433 Calle Tulane, Estancias De Tortuguero, Vega Baja, PR 00693 | 2020-07-28 |
| 1730705898 | Karen Armaiz Sanchez | General Practice | Urb. Vega Serena Calle Lucia, 444, Vega Baja, PR 00693 | 2020-06-24 |
| 1265058846 | Platinum Group Primary Care Services | Clinic/Center | Carr #2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| 1699391276 | North In Hospital Physicians | Case Manager/Care Coordinator | Carretera Num 2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| Find all providers in zip 00693 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124593660 | Victor J. Mariano Inc. | Specialist | Road 686 Km18.8 Cabo Caribe #1783-2a, Vega Baja, PR 00694 | 2018-10-11 |
| 1467885772 | Yolanda Rey | Specialist | 566 Calle Andalucia, Ciudad Real, Vega Baja, PR 00693-3672 | 2013-08-10 |
| 1194030254 | Redes Del Norte Inc | Specialist | 57a Sanchez Silva St, Vega Baja, PR 00693-0000 | 2010-08-13 |
| 1689862039 | Queenland Morales-ruz | Specialist | Marlin Azul #14, San Demetrio, Vega Baja, PR 00693 | 2007-10-11 |
| 1578761250 | Martin Gilberto Rosario | Specialist | Carr 689 B0 Ceiba Carmelita, Buzon #1, Vega Baja, PR 00693 | 2007-07-05 |
| 1710198387 | Gladys Rivera | Specialist | 370 Calle Luquillo, Villas De La Playa, Vega Baja, PR 00693-6057 | 2007-05-25 |
| 1548391733 | Eduardo Cerezo Sr. | Specialist | Oficina 201, Carr #2, Hospital Wilma Vazquez, Vega Baja, PR 00693 | 2007-03-08 |
| 1366558397 | Domingo A Mendez | Specialist | Urb. Villa Real Calle 2 B-11, Vega Baja, PR 00693 | 2006-08-22 |
| 1033150230 | Leonora Diaz | Specialist | Rd. #2 Km 43.7, Bo. Algarrobo, Vega Baja, PR 00693 | 2006-06-09 |
| 1043271398 | Vicotr Julio Mariano Mercedes | Specialist | Calle Jose Julian Acosta, #48, Vega Baja, PR 00963 | 2006-03-28 |
| Find all providers in VEGA BAJA | ||||
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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.