Organization · NPI-2

Physician Healthcare Administration LLC

Emergency Medicine · Arecibo, PR

NPI number1457730871
StatusActive
Last updated in NPPESMay 21, 2015

Details

NPI
1457730871
Entity type
Organization (NPI-2)
Legal business name
Physician Healthcare Administration LLC
Organization subpart
No
Enumeration date
May 19, 2015
Last updated
May 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine18074PRYes

Practice location

Carr 129 Km 0.1
Ave San Luis
Arecibo, PR 00612

Phone 787-817-3030

Mailing address

Po Box 140549
Arecibo, PR 00614-0549

Phone 787-817-3030

Authorized official

Lizbette Lugo
Owner
7878173030

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