PHM Multidisciplinary Clinic Maunabo LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHM MULTIDISCIPLINARY CLINIC MAUNABO LLC

Practice address

Calle Munoz Rivera 53
Edif. Adyacente CDT Maunabo
Maunabo, PR 00707

Phone

(787) 625-2500

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto L Bengoa

Title

President

Phone

(787) 625-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1326653247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ALDA ST",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA 53",
            "address_2": "EDIF. ADYACENTE CDT MAUNABO",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "00707",
            "telephone_number": "787-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHM MULTIDISCIPLINARY CLINIC MAUNABO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "BENGOA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-625-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianette Morales-Figueroa
• Victor Moreno, MD
• Municipio de Maunabo
• Municipio de Maunabo
• Glorinell Perez Rodriguez
• Prime Medical Center CSP
• Rct21 Healthcare LLC
• Yves Resilard, M.D.
• Cristian Jose Rivera Milian
• Denise Y Rodriguez Steidel, M.D.

• General Practice Physician in Maunabo, PR
• Providers in Maunabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.