# CONDADO WELLNESS CENTER PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013482066
- **Authorized official:** DR. ALFREDO AYALA (PRESIDENT)
- **Authorized official phone:** (787) 230-7557

## Contact information

- **Practice address:** 150 CALLE DE DIEGO, SAN JUAN, PR 00925-3406
- **Practice address phone:** (787) 230-7557
- **Mailing address:** 100 PASEO SAN PABLO STE 503, BAYAMON, PR 00961-7028
- **Mailing address phone:** (787) 230-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 173C00000X | Reflexologist | — | NULL | — |
| 173C00000X | Reflexologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2018
- **Last updated:** 03/14/2025