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NPI Code Detail

MEDICARE: WELLNESS &LIFE MEDICAL CENTER CORP

MEDICARE: WELLNESS &LIFE MEDICAL CENTER CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1558492900
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS &LIFE MEDICAL CENTER CORP
Provider Business Mailing Address
First Line : 623 AVE PONCE DE LEON SUITE 306
Second Line :
City : SAN JUAN
State : PR
Zip : 00918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : AVE PAZ GRANELA 1753
Second Line : URB STGO IGLESIAS
City : SAN JUAN
State : PR
Zip : 00920
Country : US
Telephone Number : 787-596-8201
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ALLAN PENA
Credential :
Telephone Number : 787-596-8201
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/22/2020

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Directions to “WELLNESS &LIFE MEDICAL CENTER CORP ” Practice Location

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