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General NPI Number Information
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NPI Number | 1801013610
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Entity Type | Organization
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Legal Business Name | WELLNESS & LIFE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | URB. SANTIAGO IGLESIAS 1753 AVE. PAZ GRANELA
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-596-8201
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Fax | 787-766-0813
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Provider Business Mailing Address
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Address Line | CIUDAD JARDIN 3 UCAR 24
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City | BAYAMON
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-637-6871
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CARMEN M PIZARRO-SKERRET
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Credential | MD
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Telephone | 787-637-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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