Healthcare Provider Details

I. General information

NPI: 1609535731
Provider Name (Legal Business Name): NATUROPATHIC HEALTH CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. CAGUAS NORTE U-1 CALLE NEBRASKA ESQ. PRAGA
CAGUAS PR
00725
US

IV. Provider business mailing address

URB CUIDAD JARDIN JUNCOS 91 CALLE BARAXAGUA
JUNCOS PR
00777
US

V. Phone/Fax

Practice location:
  • Phone: 787-220-9250
  • Fax:
Mailing address:
  • Phone: 787-983-7295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE M. LOPEZ RIVERA
Title or Position: OWNER/PRESIDENT
Credential: ND
Phone: 787-220-9250