Physicians Health Group L.L.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYSICIANS HEALTH GROUP L.L.C.

Practice address

126 Calle Pavia Fernandez Oficina 201
San Sebastian, PR 00685-2285

Phone

(787) 233-0868

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Juan Luis Robles Nieves, MD

Title

President

Phone

(787) 546-1532

Specialties & licenses 2

Addresses

Other names 1

• PHYSICIANS HEALTH GROUP L.L.C. Former legal business name

Locations

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1558009142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850609",
            "telephone_number": "787-546-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CALLE PAVIA FERNANDEZ OFICINA 201",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852285",
            "telephone_number": "787-233-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "ROBLES NIEVES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-546-1532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS HEALTH GROUP L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PHYSICIANS HEALTH GROUP L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Physician in San Sebastian, PR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.