Healthcare Provider Details

I. General information

NPI: 1003746736
Provider Name (Legal Business Name): INSTITUTO DE BIENESTAR CONSCIENTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CALLE MENDEZ VIGO W
MAYAGUEZ PR
00682-3228
US

IV. Provider business mailing address

26 CALLE SALUD N
MAYAGUEZ PR
00680-5403
US

V. Phone/Fax

Practice location:
  • Phone: 787-831-4018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL I GAUD
Title or Position: DIRECTOR
Credential:
Phone: 787-344-3534