NPIMap

Organization Active NPI

PHM Multidisciplinary Clinic, LLC

  • Prevention Professional
  • Arecibo, PR
National Provider Identifier
1467979286
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
PHM MULTIDISCIPLINARY CLINIC, LLC
Practice address
Bo San Daniel KM 81.3
Arecibo, PR 00612
Phone
(787) 650-2732
Fax
(787) 650-2734
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Mrs. Waleska Marrero
Title
Medical and Health Services Directo
Phone
(787) 407-8764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

Bo San Daniel KM 81.3
Arecibo, PR 00612

Mailing address

1551 Calle Alda Ste 201
San Juan, PR 00926-2709
Phone (787) 650-2732

Other names 1

  • Clinica de Arecibo Other name

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1467979286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-650-2732",
            "fax_number": "787-650-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SAN DANIEL KM 81.3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-2732",
            "fax_number": "787-650-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHM MULTIDISCIPLINARY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "WALESKA",
        "authorized_official_title_or_position": "MEDICAL AND HEALTH SERVICES DIRECTO",
        "authorized_official_telephone_number": "787-407-8764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Arecibo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.