Healthcare Provider Details

I. General information

NPI: 1770416208
Provider Name (Legal Business Name): ACCESS WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CALLE PADIAL STE 340
CAGUAS PR
00725-3807
US

IV. Provider business mailing address

266 CALLE UCAR HACIENDA BORINQUEN
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-636-9313
  • Fax:
Mailing address:
  • Phone: 787-636-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ISAMAR ZOE TORRES ROMAN
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 787-636-9313