Premium Health Group Clinic
NPI 1306071451 · Health Service Clinic/Center · Carolina, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premium Health Group Clinic is a Health Service Clinic/Center organization in Carolina, PR (NPI 1306071451).
Provider details
- NPI number
- 1306071451
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alex Carrasquillo, Administrator(787) 253-1101
Specialties & taxonomies
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Frequently asked questions
- What is Premium Health Group Clinic's NPI number?
- Premium Health Group Clinic's National Provider Identifier (NPI) is 1306071451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Health Group Clinic?
- Premium Health Group Clinic is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premium Health Group Clinic located?
- Premium Health Group Clinic's practice location on file with NPPES is Laguna Gardens Shopping Center, Carolina, PR 00979.
- What is Premium Health Group Clinic's phone number?
- The practice phone number listed in the NPPES registry for Premium Health Group Clinic is (787) 253-1101.
- Does Premium Health Group Clinic accept Medicare?
- Premium Health Group Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premium Health Group Clinic?
- The authorized official listed on Premium Health Group Clinic's NPPES record is Alex Carrasquillo, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Health Group Clinic's NPI active?
- Yes — Premium Health Group Clinic's NPI (1306071451) is active in the NPPES registry as of the last update on 2020-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.