Physician Healthcare Administration LLC
Organization Active NPI Emergency Medicine Physician · Arecibo, PR
NPI 1457730871 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1457730871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 18074 (PR)
- Legal business name
- PHYSICIAN HEALTHCARE ADMINISTRATION LLC
- Practice address
- Carr 129 KM 0.1
Ave San Luis
Arecibo, PR 00612 - Phone
- (787) 817-3030
- NPI assigned
- May 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Lizbette Lugo, CSP
- Title
- Owner
- Phone
- (787) 817-3030
Practitioners 20
-
Jaymie Cancel, MD
-
Lizbette Lugo Perez, 18074
-
Zuleika Cardona, M.D.
-
Victor M Martinez Suarez, M.D.
-
Wendel Pagan, MD
-
Keddie Sanchez Lamboy, MD, MBA
-
Lizmary Vazquez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160331000779 | PR | Part B Supplier - Clinic/Group Practice | 5698072940 |
Receives reassigned benefits from 19 practitioners Practice locations: Mayaguez, PR |
National Provider Directory
Locations
H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 18074 | PR | Yes |
Addresses
Primary practice location
Carr 129 KM 0.1
Ave San Luis
Arecibo, PR 00612
Mailing address
PO Box 140549
Arecibo, PR 00614-0549
Phone (787) 817-3030
Other providers in Arecibo, PR
- Veronica Perez
- Waleska Perez
- William Perez
- PHM Multidisciplinary Clinic LLC
- PHM Multidisciplinary Clinic, LLC
- Physician Providers Network LLC
- Francis Picon
- Jesus Pino Jr.
- Maria Pitre
- Platinum Emergency Physicians, PSC
All providers in Arecibo, PR · Emergency Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.