Premium Health Group Clinic

LBN: Premium Health Group Clinic
Premium Health Group Clinic is an health care organization with primary practice located at Laguna Gardens Shopping Center Suite 101A, Carolina PR 00979. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Premium Health Group Clinic can be contacted via phone (787) 253-1101, or through Carrasquillo, Alex via phone (787) 253-1101.

Contact Information

Primary practice address
Laguna Gardens Shopping Center Suite 101A Carolina PR 00979
Phone: (787) 253-1101
Fax: (787) 791-6273
Website:
Map and Directions
Authorized official contact:
Name: Carrasquillo, Alex Doctor of Dental Medicine (DMD)
Phone: (787) 253-1101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1306071451
LBN Legal business name Premium Health Group Clinic
DBA Doing business as
Authorized official Carrasquillo, Alex Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated Oct 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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