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PREMIUM HEALTH GROUP CLINIC LLC
NPI 1558929752
Radiology - Diagnostic Radiology in Carolina, PR

Active since June 03, 2019
LAGUNA GARDENS SHOPPING CENTER, SUITE 101A, CAROLINA, PR 00979(787) 444-4908 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2020, Jun 3, 2019 (2 updates tracked since 2019).

About Premium Health Group Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIUM HEALTH GROUP CLINIC LLC (NPI 1558929752) is a healthcare organization registered as a diagnostic radiology in Carolina, Puerto Rico and active in the NPI registry since June 2019. The organization lists Luz Villanueva, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558929752
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePREMIUM HEALTH GROUP CLINIC LLC
Location AddressLAGUNA GARDENS SHOPPING CENTER, SUITE 101ACarolina, PR 00979
Mailing AddressLaguna Gardens Shopping Center, Suite 101aCarolina, PR 00979 · (787) 444-4908
Phone(787) 444-4908
Organization SubpartYes
Authorized OfficialLuz VillanuevaCeo · (787) 253-1101
Enumeration DateJune 3, 2019
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1558929752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NORBERTO MEDINA PELLICER DMD
Dentist (General Practice)
LAGUNA GARDENS SHOPPING CENTER, SUITE 200
CAROLINA, PR 00979
Carolina Municipio (787) 791-0906
GUSTAVO RIVERA CRUZ MD
Psychiatry & Neurology (Psychiatry)
LAGUNA GARDENS SHOPPING CENTER, SUITE 211
CAROLINA, PR 00979
Carolina Municipio (787) 791-8897
PREMIUM HEALTH GROUP CLINIC
Clinic/Center (Health Service)
LAGUNA GARDENS SHOPPING CENTER, SUITE 101A
CAROLINA, PR 00979
Carolina Municipio (787) 253-1101
LAISHA M BAEZ NEGRON MD
Internal Medicine (Rheumatology)
LAGUNA GARDENS SHOPPING CENTER, SUITE 101A
CAROLINA, PR 00979
Carolina Municipio (787) 980-6369
PRODESSIONAL AUDIO SERVICES, INC.
Preferred Provider Organization
LAGUNA GARDENS SHOPPING CENTER, SUITE 248
CAROLINA, PR 00979
Carolina Municipio (787) 253-1531
LAGUNA GARDENS RADIOLOGY AND IMAGING GROUP INC.
Clinic/Center (Radiology, Mammography)
LAGUNA GARDENS SHOPPING CENTER, SUITE 106
CAROLINA, PR 00979
Carolina Municipio (787) 253-7070
MED VEC DENTAL CSP
Dentist (General Practice)
LAGUNA GARDENS SHOPPING CENTER, SUITE 200
CAROLINA, PR 00979
Carolina Municipio (787) 791-0906
DR. DAYRA D QUILES-PEREZ PSY.D
Psychologist
LAGUNA GARDENS SHOPPING CENTER, SUITE 249-2
CAROLINA, PUERTO RICO 00979
Carolina Municipio (787) 529-1191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Health Group Clinic LLC's NPI number?

The NPI number for Premium Health Group Clinic LLC is 1558929752. It was assigned to this organization in the NPPES registry on June 3, 2019.

Where is Premium Health Group Clinic LLC located?

Premium Health Group Clinic LLC is located at Laguna Gardens Shopping Center Suite 101A, Carolina, PR 00979. The listed phone number is (787) 444-4908.

What is Premium Health Group Clinic LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Premium Health Group Clinic LLC was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.