Healthcare Provider Details

I. General information

NPI: 1336064864
Provider Name (Legal Business Name): NATURAE WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 BLVD LUIS A FERRE EDIF PORRATA PILA 208
PONCE PR
00728-1818
US

IV. Provider business mailing address

2431 BLVD LUIS A FERRE EDIF PORRATA PILA 208
PONCE PR
00728-1818
US

V. Phone/Fax

Practice location:
  • Phone: 787-451-6978
  • Fax:
Mailing address:
  • Phone: 787-451-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. LEIDI HERNANDEZ
Title or Position: NATUROPATHIC DOCTOR
Credential: ND
Phone: 787-396-7286