Provider Demographics
NPI:1639684905
Name:PRECISION HEALTH, LLC
Entity Type:Organization
Organization Name:PRECISION HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-621-4747
Mailing Address - Street 1:200 HERNANDEZ CARRION STREET SUITE 4210
Mailing Address - Street 2:MMC PROFESSIONAL PLAZA
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-621-4747
Mailing Address - Fax:787-621-3263
Practice Address - Street 1:200 HERNANDEZ CARRION STREET SUITE 210
Practice Address - Street 2:MMC PROFESSIONAL PLAZA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-4747
Practice Address - Fax:787-621-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty