Healthcare Provider Details

I. General information

NPI: 1992666036
Provider Name (Legal Business Name): WEST INTEGRATIVE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CALLE MENDEZ VIGO E
MAYAGUEZ PR
00680-4652
US

IV. Provider business mailing address

PO BOX 3842
MAYAGUEZ PR
00681-3842
US

V. Phone/Fax

Practice location:
  • Phone: 787-831-1632
  • Fax:
Mailing address:
  • Phone: 787-831-1632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NATALIA CORDERO
Title or Position: OWNER
Credential:
Phone: 787-831-1632