Healthcare Provider Details

I. General information

NPI: 1780544239
Provider Name (Legal Business Name): WELLNESS & MEDICAL CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR NUM 2 KM 39 7 URB COLLAZO
VEGA BAJA PR
00693-0000
US

IV. Provider business mailing address

CALLE MAR DEL NORTE CASA #763 PASEOS LOS CORALES II
DORADO PR
00646-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-807-8302
  • Fax:
Mailing address:
  • Phone: 787-807-8302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA S DOMINGUEZ PASCUAL
Title or Position: PRESIDENTE
Credential: MD
Phone: 787-244-5155