| NPI | 1962857631 |
|---|---|
| Former Legal Business Name | PREMIUM PEDIATRIC GROUP PSC |
| Entity Type | Organization |
| Authorized Contact | LUIS CRUZ Administrador 787-955-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: PR 12804) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |