PHM MULTIDISCIPLINARY CLINIC LLC (NPI# 1285102269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285102269 |
| Entity Type | Organization |
| Organization Name | PHM MULTIDISCIPLINARY CLINIC LLC |
| Practice Address |
Galeria 100 Shopping Center Carretera 100 Km 6.6 Cabo Rojo PR 00623 |
| Mailing Address |
1551 Calle Alda Ste 201 San Juan PR 00926-2709 |
| Practice Telephone | 7876581389 |
| Practice Fax Number | 7876581392 |
| Mailing Telephone | 7876502732 |
| Mailing Fax Number | 7876502734 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | ROBERTO LUIS BENGOA (PRESIDENTE) |
| Authorized Official Telephone | 7876252500 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHM MULTIDISCIPLINARY CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Clinica de Cabo Rojo | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154899128 | Phm Multidisciplinary Clinic LLC | Specialist | B11 Calle 2, Urbanizacion Villa Real, Vega Baja, PR 00693 | 2018-11-08 |
| 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 |
GALERIA 100 SHOPPING CENTER CARRETERA 100 KM 6.6 |
| City | CABO ROJO |
| State | PR |
| Zip Code | 00623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1437768421 | Eliezer J Hernandez | Pharmacist | Carr. #100 Km. 6.6 Bo. Miradero, Cabo Rojo, PR 00623 | 2020-07-27 |
| 1144840638 | Grecia Lizbeth Perez De La Pena | Student in an Organized Health Care Education/Training Program | Estancias De Monte Grande #22, Carr 102, Km 23.1, Cabo Rojo, PR 00623 | 2020-04-24 |
| 1255951257 | Sebastian Optical | Eyewear Supplier (Equipment, not the service) | Edificio Dr Colberg La 100 Km5.3, Cabo Rojo, PR 00623 | 2020-04-20 |
| 1316571698 | Paradise Medical Spa | Clinic/Center | Carr. 308 Km. 5.1 Bo. Miradero, Cabo Rojo, PR 00623 | 2020-02-26 |
| 1366075806 | Paulette Haselhorst | Pharmacist | Urb Colinas Del Mar, Cabo Rojo, PR 00623 | 2020-02-12 |
| 1578103610 | Yolanda Martinez | Pharmacist | 3301 Route Km 2.0, House Second Floor- Pharmacy El Combate, Cabo Rojo, PR 00623 | 2020-01-07 |
| 1245879451 | Hecmarie Alonso Gil | Pharmacist | Carr 100 Int Carr 311, Cabo Rojo, PR 00623 | 2020-01-06 |
| 1033755913 | Wilmer Davila | General Practice | Carr 101 Km 16.4, Camino Cofresi, Cabo Rojo, PR 00623 | 2019-11-26 |
| 1790321461 | Ken Robert Malave Ramos | Student in an Organized Health Care Education/Training Program | Urb. Ext. Elizabeth 5117 Calle Cantares, Cabo Rojo, PR 00623 | 2019-11-18 |
| Find all providers in zip 00623 | ||||
| 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 |
|---|---|---|---|---|
| 1124344247 | Ruiz Zapata Medical Corp. | Specialist | 3118 Palmeras, Haciendas De Cabo Rojo, Cabo Rojo, PR 00623 | 2010-04-14 |
| 1699720854 | Ruben Ruiz | Specialist | 50 Calle Henna, Urb El Cibao, Cabo Rojo, PR 00623-3450 | 2006-05-24 |
| 1861469074 | Noe Fernandez | Specialist | 47b Calle Munoz Rivera, Cabo Rojo, PR 00623-4041 | 2006-03-07 |
| 1558336552 | Jaime R. Aponte Lopez | Specialist | 74 Calle Baldorioty, Cabo Rojo, PR 00623-1331 | 2006-02-22 |
| 1053386490 | Lynnette Ortiz Toro | Specialist | Carr 308 Km 0.2 # 30, Cabo Rojo, PR 00623-1331 | 2006-02-21 |
| 1215918164 | Irivette Ojeda | Specialist | 25 Calle Ruiz Belvis, Cabo Rojo, PR 00623-4029 | 2005-11-08 |
| 1558342428 | Jose Raul Melendez | Specialist | 25 Calle Ruiz Belvis, Cabo Rojo, PR 00623-4029 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1851992242 | Medical Specialty Clinic LLC | Specialist | 1012 Ave Peter Agapito Ortiz, Levittown, Toa Baja, PR 00949 | 2020-11-03 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1235753013 | Irene C Padin | Specialist | 48 Avenida Luis Munoz Rivera, Centro Plaza Leonardo Aviles, Camuy, PR 00627 | 2020-06-08 |
| 1881240984 | East Best Health, LLC | Specialist | 1540 Calle Bori, Urb. Belisa, San Juan, PR 00927-6116 | 2019-08-14 |
| 1255997979 | Eastern Consulting Group Inc | Specialist | 150 Ave Font Martelo Ste 1, Humacao, PR 00791-3346 | 2019-05-17 |
| 1104482819 | Magaly Ambert Guilbe | Specialist | 8169 Calle Concordia Edificio San Vicente Suite 412, Ponce, PR 00716 | 2019-05-17 |
| 1669934717 | Island Physician Management, LLC | Specialist | 35 Calle Juan C Borbon Ste 67-143, Guaynabo, PR 00969-5374 | 2019-04-05 |
| 1912477225 | Chris Marie Adams Vega | Specialist | 8169 Calle Concordia Edif. San Vicente, Suite 412, Ponce, PR 00717 | 2018-11-29 |
| 1154899128 | Phm Multidisciplinary Clinic LLC | Specialist | B11 Calle 2, Urbanizacion Villa Real, Vega Baja, PR 00693 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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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.