Premium Health Group Clinic LLC
NPI 1558929752ActiveOrganization· Radiology, Diagnostic Radiology· Carolina, PR
Radiology, Diagnostic Radiology in Carolina, Puerto Rico, registered in NPPES in June 2019, part of Premium Health Group Clinic LLC. The authorized official on file is Luz Villanueva, Ceo.
Overview
| NPI | 1558929752 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Premium Health Group Clinic LLC |
| NPI issued | Jun 3, 2019 |
| Last updated in NPPES | May 7, 2020 |
| Certified by provider | May 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Body Imaging | 2085B0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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