MEDICARE: NUR AESTHETIC & WELLNESS LLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1720933591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUR AESTHETIC & WELLNESS LLC

Provider Business Mailing Address
First Line	:	811 CALLE VESTA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00923-2344
Country	:	US
Telephone Number	:	787-554-9194
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 CALLE ALDA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2712
Country	:	US
Telephone Number	:	787-554-9194
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	GEMMA C ZAPATER
Credential	:	MD
Telephone Number	:	787-554-9194

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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