Provider Demographics
NPI:1750254306
Name:PRIVATEMED HEALTH LLC
Entity type:Organization
Organization Name:PRIVATEMED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CAP
Authorized Official - Phone:939-382-1111
Mailing Address - Street 1:1451 AVE ASHFORD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1511
Mailing Address - Country:US
Mailing Address - Phone:939-382-1111
Mailing Address - Fax:939-382-1111
Practice Address - Street 1:1451 ASHFORD AVE
Practice Address - Street 2:SUITE 113A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1511
Practice Address - Country:US
Practice Address - Phone:939-382-1111
Practice Address - Fax:939-382-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty