Healthcare Provider Details

I. General information

NPI: 1528652633
Provider Name (Legal Business Name): DGF HEALTHCARE CONSULTING GROUP LIMITED LIABILITY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 CALLE DE LA LUNA
SAN JUAN PR
00901-1321
US

IV. Provider business mailing address

19 CALLE GLORIMAR
SAN JUAN PR
00926-5325
US

V. Phone/Fax

Practice location:
  • Phone: 787-438-0148
  • Fax:
Mailing address:
  • Phone: 787-438-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANERIS FERNANDEZ
Title or Position: PRESISDENT
Credential:
Phone: 787-438-0148