Healthcare Provider Details

I. General information

NPI: 1538087424
Provider Name (Legal Business Name): PLM GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9507 VIA PELICANOS
TOA BAJA PR
00949-4385
US

IV. Provider business mailing address

9507 VIA PELICANOS
TOA BAJA PR
00949-4385
US

V. Phone/Fax

Practice location:
  • Phone: 787-642-1003
  • Fax:
Mailing address:
  • Phone: 787-642-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAOLA M LOPEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-642-1003