1376878967 NPI number — BELLADONNA MEDICAL WELLNESS

Table of content: (NPI 1376878967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376878967 NPI number — BELLADONNA MEDICAL WELLNESS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BELLADONNA MEDICAL WELLNESS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376878967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4253 CARR 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VEGA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00693-3619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-533-7520
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR #2 KM 42
Provider Second Line Business Practice Location Address:
EXPRESO VEGA Y MOROVIS
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-533-7520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CINTRON-PAGAN
Authorized Official First Name:
EVELYN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
787-533-7520

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)