Whalio Doctors

NPI 1952739385

Puerto Rico Performance Medical Group

Organisation Point of Service Guaynabo, PR

Practice location

Address
1 F12 Prado Alto, Guaynabo, PR 00966
Phone
(787) 460-1129
Mailing address
F12 Calle 1, Guaynabo, PR 00966-3022

Authorised official

Name
Lucienne Laureano
Title
President
Phone
(787) 460-0538

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 219 (PR)

Registry record

NPI
1952739385
Entity type
Organization
NPI issued
22 Oct 2013
Record last updated
29 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.