# ENDOCRINOLOGY AND DIABETES WELLNESS CENTER

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

## Provider details

- **NPI number:** 1023588514
- **Authorized official:** NAOMI COLLAZO GUTIERREZ MD (PRESIDENT)
- **Authorized official phone:** (787) 447-5200

## Contact information

- **Practice address:** URB ATENAS HERNANDEZ CARRION OFICINA 213, MANATI MEDICAL CENTER PROFESSIONAL PLAZA, MANATI, PR 00674-0001
- **Practice address phone:** (787) 621-4828
- **Mailing address:** 118 AVE CARLOS CHARDON COND QUANTUM METROCENTER, APT 150, SAN JUAN, PR 00918
- **Mailing address phone:** (787) 447-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 05/25/2022