Professional Health Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROFESSIONAL HEALTH CLINIC

Practice address

400 Calaf Street
Suite 361
San Juan, PR 00918-1314

Phone

(787) 780-8454

Fax

(787) 779-2329

NPI assigned

Feb 20, 2008

Last updated

Apr 20, 2008By 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. Ivan Millon

Title

Ejecutive Director

Phone

(787) 780-8454

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578731865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALAF STREET",
            "address_2": "SUITE 361",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-780-8454",
            "fax_number": "787-779-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CALAF STREET",
            "address_2": "SUITE 361",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-780-8454",
            "fax_number": "787-779-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MILLON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "EJECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-780-8454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Productos Familia de Puerto Rico Inc.
• Productos Medicos Inc (Farmacia San Carlos)
• Profesional Imaging CT Center
• Professional Communications, Inc.
• Professional Consulting Psychoeducational Service LLC
• Professional Hearing & Balance Center
• Professional Infusion Center, Inc.
• Professional Maxsal Drug, Inc. (Professional Drug)
• Professional Mental Health & Counseling Corp PC
• Professional Ophthalomology Group LLC

• Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.