| Wellness 360 Corp | |
|
Road 1 Km 117.7, Ward Arus Juana Diaz PR 00795 | |
| (787) 362-9116 | |
| (787) 260-6116 |
| Full Name | Wellness 360 Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | Road 1 Km 117.7, Ward Arus, Juana Diaz, Puerto Rico |
| Authorized Official Name and Position | Wilfredo J Perez (OWNER) |
| Authorized Official Contact | 7873629116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness 360 Corp Urb. Brisas De Laurel 420 Diamante Street Coto Laurel PR 00780-2217 Ph: (787) 362-9116 | Wellness 360 Corp Road 1 Km 117.7, Ward Arus Juana Diaz PR 00795 Ph: (787) 362-9116 |
| NPI Number | 1306468707 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 06/14/2021 |
| Medicare PECOS PAC ID | 7012308554 |
|---|---|
| Medicare Enrollment ID | O20211217000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306468707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Wilfredo J Perez Vargas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588653042 PECOS PAC ID: 8325016876 Enrollment ID: I20040922000424 |
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