NPIMap

Organization Active NPI

PHM Multidisciplinary Clinic LLC

  • Health Service Clinic/Center
  • Guayama, PR
National Provider Identifier
1124774054
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PHM MULTIDISCIPLINARY CLINIC LLC
Practice address
Calle Palmer Esq Vicente Pales Num 51
Guayama, PR 00785
Phone
(787) 866-1449
Fax
(787) 866-5148
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Luz Nuria Toledo
Title
VP of Clinic Operations
Phone
(787) 396-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Calle Palmer Esq Vicente Pales Num 51
Guayama, PR 00785

Mailing address

1551 Calle Alda, Suite 201
Urb. Caribe
San Juan, PR 00926-2709
Phone (787) 626-2500

Other names 1

  • PHM MULTISALUD GUAYAMA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PHM Multidisciplinary Clinic LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1124774054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA, SUITE 201",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-626-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER ESQ VICENTE PALES NUM 51",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-866-1449",
            "fax_number": "787-866-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHM MULTIDISCIPLINARY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "NURIA",
        "authorized_official_title_or_position": "VP OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "787-396-8784"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHM MULTISALUD GUAYAMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.