PREMIUM HEALTH GROUP CLINIC LLC – NPI #1558929752
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

PREMIUM HEALTH GROUP CLINIC LLC is a radiologist located in CAROLINA, PR. NPPES has assigned the NPI number 1558929752 to PREMIUM HEALTH GROUP CLINIC LLC on June 03, 2019. 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on May 07, 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 LLC below.

NPI Profile for
PREMIUM HEALTH GROUP CLINIC LLC

NPI Number
1558929752
Enumeration Date

(more than 7 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 LLC
Primary location
LAGUNA GARDENS SHOPPING CENTER
SUITE 101A
CAROLINA, PR 00979
Phone: (787) 444-4908 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - PREMIUM HEALTH GROUP CLINIC LLC is subpart of another organization.
Authorized Official
LUZ VILLANUEVA
CEO
Phone: (787) 253-1101
Updated
Certification Date
May 07, 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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085B0100X
- Radiology / Body Imaging

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.