NORTHEASTERN MEDICAL HEALTH GROUP LLC. – NPI #1720308877
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NORTHEASTERN MEDICAL HEALTH GROUP LLC. is a provider located in FAJARDO, PR. NPPES has assigned the NPI number 1720308877 to NORTHEASTERN MEDICAL HEALTH GROUP LLC. on June 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 NORTHEASTERN MEDICAL HEALTH GROUP LLC. below.

NPI Profile for
NORTHEASTERN MEDICAL HEALTH GROUP LLC.

NPI Number
1720308877
Enumeration Date

(about 16 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
NORTHEASTERN MEDICAL HEALTH GROUP LLC.
Primary location
AVE. GENERAL VALERO 375
EDIFICIO ESQUINA MEDICA SUITE 103
FAJARDO, PR 00738
Phone: (787) 556-2725 Fax: (787) 998-9898
Mailing address
PO BOX 1189
FAJARDO, PR 00738-1189
Phone: (787) 556-2725 Fax: (787) 998-9898
Organization Subpart
No
Authorized Official
VICTOR ROBLES PADRO
PRESIDENT
Phone: (787) 556-2725
Updated
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
208D00000X
- General Practice (Primary)
PR 16707

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.