NPIMap

Organization Active NPI

Professional Health Group Inc.

  • Ambulatory Family Planning Facility
  • Bayamon, PR
National Provider Identifier
1962626960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
07-B-2481 Issued in PR
Legal business name
PROFESSIONAL HEALTH GROUP INC.
Practice address
14 Ave Betances
Urb. Hermanas Davila
Bayamon, PR 00959-5200
Phone
(787) 730-8840
Fax
(787) 740-8841
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Pedro Van Rhyn
Title
President
Phone
(787) 780-8454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 07-B-2481 PR Primary

Addresses

Primary practice location

14 Ave Betances
Urb. Hermanas Davila
Bayamon, PR 00959-5200

Mailing address

400 Calle Juan Calaf
Suite 361
San Juan, PR 00918-1314
Phone (787) 780-8454

National Provider Directory

National Provider Directory
Tax ID family
Hato Rey Health Clinic PHG4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14 Ave Betances
Bayamon, PR 00959
Phone (787) 705-5634

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962626960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE JUAN CALAF",
            "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": "14 AVE BETANCES",
            "address_2": "URB. HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595200",
            "telephone_number": "787-730-8840",
            "fax_number": "787-740-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN RHYN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-8454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "PR",
            "license": "07-B-2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.