PREMIUM HEALTH GROUP CLINIC – NPI #1306071451
Clinic/Center

PREMIUM HEALTH GROUP CLINIC is an AHC clinic located in CAROLINA, PR. NPPES has assigned the NPI number 1306071451 to PREMIUM HEALTH GROUP CLINIC on May 19, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Oct 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIUM HEALTH GROUP CLINIC below.

NPI Profile for
PREMIUM HEALTH GROUP CLINIC

NPI Number
1306071451
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIUM HEALTH GROUP CLINIC
Primary location
LAGUNA GARDENS SHOPPING CENTER
SUITE 101A
CAROLINA, PR 00979
Phone: (787) 253-1101 Fax: (787) 791-6273
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEX CARRASQUILLO
ADMINISTRATOR
Phone: (787) 253-1101
Updated
Certification Date
Oct 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)
261QR0200X
- Clinic/Center / Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.