Premiun Health Care Associates

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

331348 Issued in PR

Legal business name

PREMIUN HEALTH CARE ASSOCIATES

Practice address

1519 Ave Ponce de Leon
Suite 1201
San Juan, PR 00910-0000

Phone

(787) 562-5168

Fax

(787) 722-2371

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Miss Yamilet Lopez, MBA

Title

President

Phone

(787) 562-5168

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1265860795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON",
            "address_2": "SUITE 1201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100000",
            "telephone_number": "787-562-5168",
            "fax_number": "787-722-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON",
            "address_2": "SUITE 1201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100000",
            "telephone_number": "787-562-5168",
            "fax_number": "787-722-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUN HEALTH CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YAMILET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-562-5168",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": "331348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "331348",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premed, LLC
• Premier Health Care LLC
• Premier Medical Services LLC
• Premier Orthopedics, Inc
• Premium Pharmacy 2
• Prenta Puerto Rico Ear Nose and Throat Affilates GRP LLC
• Prepven Corp
• Presbyterian Community Hospital Inc.
• Presbyterian Community Hospital, Inc
• Presbyterian Community Hospital, Inc

• Preferred Provider Organization in San Juan, PR
• Providers in San Juan, PR by specialty
• Preferred Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.