MEDICARE: WEST INTEGRATIVE CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1992666036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST INTEGRATIVE CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 3842
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-3842
Country	:	US
Telephone Number	:	787-831-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 CALLE MENDEZ VIGO E
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-4652
Country	:	US
Telephone Number	:	787-831-1632
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIA CORDERO
Credential	:
Telephone Number	:	787-831-1632

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “WEST INTEGRATIVE CENTER LLC ” Practice Location

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