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NPI Code Detail

MEDICARE: BEYOND WELLNESS INC.

MEDICARE: BEYOND WELLNESS INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician17055PR
2208D00000XGeneral Practice Physician16987PR

General Provider Information

NPI Number : 1538301932
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND WELLNESS INC.
Provider Business Mailing Address
First Line : 5016 PASEO LA CONSTANCIA
Second Line : HACIENDAS DEL MONTE
City : COTO LAUREL
State : PR
Zip : 00780-2311
Country : US
Telephone Number : 787-690-9580
Fax Number :
Provider Business Practice Location Address
First Line : X1154 AVE PONTEZUELA
Second Line : VISTAMAR
City : CAROLINA
State : PR
Zip : 00983-2060
Country : US
Telephone Number : 787-607-6007
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. AXEL ENRI MARTINEZ
Credential : M.D.
Telephone Number : 787-607-6007
Provider Enumeration Date : 03/31/2009
Last Update Date : 05/11/2009

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Directions to “BEYOND WELLNESS INC. ” Practice Location

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