Healthcare Provider Details

I. General information

NPI: 1063876886
Provider Name (Legal Business Name): PREMIERH HEALTH SCREENING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 21 CARR 189 KM 2.1 URB REPARTO CAGUAX
CAGUAS PR
00725
US

IV. Provider business mailing address

PMB 334-405 AVE ESMERALDA STE 2
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-789-3032
  • Fax:
Mailing address:
  • Phone: 787-789-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO ALVAREZ
Title or Position: PRESIDENT
Credential:
Phone: 787-789-3032