Healthcare Provider Details
I. General information
NPI: 1326970773
Provider Name (Legal Business Name): CUNDEAMOR NATURAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1607 AVE PONCE DE LEON STE 410
SAN JUAN PR
00909-1802
US
IV. Provider business mailing address
920 AVE JESUS T PINERO APT 1707T1
SAN JUAN PR
00921-1927
US
V. Phone/Fax
- Phone: 939-649-3069
- Fax:
- Phone: 939-649-3069
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREA
N
SEIJO
Title or Position: DOCTOR/PRESIDENT
Credential: ND
Phone: 787-550-1497