| Physicians Health Group L.l.c. | |
|
126 Calle Pavia Fernandez Oficina 201 San Sebastian PR 00685-2285 | |
| (787) 233-0868 | |
| Not Available |
| Full Name | Physicians Health Group L.l.c. |
|---|---|
| Speciality | General Practice |
| Location | 126 Calle Pavia Fernandez Oficina 201, San Sebastian, Puerto Rico |
| Authorized Official Name and Position | Juan Luis Robles Nieves (PRESIDENT) |
| Authorized Official Contact | 7875461532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Health Group L.l.c. Po Box 609 San Sebastian PR 00685-0609 Ph: (787) 546-1532 | Physicians Health Group L.l.c. 126 Calle Pavia Fernandez Oficina 201 San Sebastian PR 00685-2285 Ph: (787) 233-0868 |
| NPI Number | 1558009142 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 5395129852 |
|---|---|
| Medicare Enrollment ID | O20220901000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558009142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Juan L Robles Nieves |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417280603 PECOS PAC ID: 2567656713 Enrollment ID: I20101101001329 |
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