Healthcare Provider Details

I. General information

NPI: 1063203776
Provider Name (Legal Business Name): GETHEALTH PR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 AVE PONCE DE LEON STE 108A-2
SAN JUAN PR
00907-3256
US

IV. Provider business mailing address

701 AVE PONCE DE LEON STE 108A-2
SAN JUAN PR
00907-3256
US

V. Phone/Fax

Practice location:
  • Phone: 939-290-2850
  • Fax:
Mailing address:
  • Phone: 939-290-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: LESLY GONZALEZ
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 939-290-2850