# CUSTOM WELLNESS SOLUTIONS

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

## Provider details

- **NPI number:** 1073780581
- **Authorized official:** PROF. YITZA A. ARCELAY MPHE, CHES, CLE (PRESIDENT)
- **Authorized official phone:** (787) 259-1654

## Contact information

- **Practice address:** CARRETERA 506 KM 0.75, EDIFICIO LEGACY OFFICE PARK SUITE 102, COTO LAUREL, PR 00780-2246
- **Practice address phone:** (787) 259-1654
- **Practice address fax:** (787) 848-7373
- **Mailing address:** 1241 BULEVAR SAN LUIS, COTO LAUREL, PR 00780-2246
- **Mailing address phone:** (787) 259-1654
- **Mailing address fax:** (787) 848-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008