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General NPI Number Information
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NPI Number | 1780544239
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Entity Type | Organization
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Legal Business Name | WELLNESS & MEDICAL CARE GROUP LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | CARR NUM 2 KM 39 7 URB COLLAZO
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City | VEGA BAJA
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State | PR
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Zip | 00693-0000
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Country | US
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Telephone | 787-807-8302
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE MAR DEL NORTE CASA #763 PASEOS LOS CORALES II
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City | DORADO
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State | PR
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Zip | 00646-0000
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Country | US
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Telephone | 787-807-8302
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MARIA S DOMINGUEZ PASCUAL
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Credential | MD
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Telephone | 787-244-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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