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The Wellness Space, P.S.C.

Clinic/Center, Primary Care in Isabela, PR. Organization (NPI-2).

NPI number1982171120
StatusActive
Last updated in NPPESOct 25, 2018

Details

NPI
1982171120
Entity type
Organization (NPI-2)
Legal business name
The Wellness Space, P.S.C.
Organization subpart
No
Enumeration date
Oct 25, 2018
Last updated
Oct 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

3106 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614

Phone 787-872-5042 · Fax 787-291-7436

Mailing address

Po Box 1747
Isabela, PR 00662-1747

Phone 787-872-5042 · Fax 787-291-7436

Authorized official

Pedro J Cruz
President
7878725042

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