Organization Active NPI

Premium Natural Care .Inc

  • Clinic/Center
  • Carolina, PR
National Provider Identifier
1124387170
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIUM NATURAL CARE .INC
Practice address
Escorial Office Building One
1400 Ave de Diego Suite 240
Carolina, PR 00987-4703
Phone
(787) 253-1101
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luz M Villanueva
Title
Ceo
Phone
(787) 253-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Escorial Office Building One
1400 Ave de Diego Suite 240
Carolina, PR 00987-4703

Mailing address

Ave. Bairoa B-1 Esquina Guarionex
Caguas, PR 00725
Phone (787) 791-7287

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1124387170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. BAIROA B-1 ESQUINA GUARIONEX",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-791-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESCORIAL OFFICE BUILDING ONE",
            "address_2": "1400 AVE DE DIEGO SUITE 240",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874703",
            "telephone_number": "787-253-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM NATURAL CARE .INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-253-1101"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.