Healthcare Provider Details

I. General information

NPI: 1659295913
Provider Name (Legal Business Name): DR. XIONELL FORTY GALVEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GUZMAN ABAJO SEC. MOROVIS
RIO GRANDE PR
00745
US

IV. Provider business mailing address

GUZMAN ABAJO SEC. MOROVIS
RIO GRANDE PR
00745
US

V. Phone/Fax

Practice location:
  • Phone: 787-605-8864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: