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Organization

BAYAMON MEDICAL WELLNESS CENTER, PSC

Active
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Organization

BAYAMON MEDICAL WELLNESS CENTER, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGEL LUIS COMULADA-RIVERA M.D. (MEDICAL DIRECTOR)
(787) 667-9843
Entity
Organization

Contact information

Practice address
CALLE MANUEL ROSSY ESQ. ISABEL II, BAYAMON, PR 00960
(787) 451-1363
Mailing address
PO BOX 52192, TOA BAJA, PR 00950-2192
(787) 451-1363

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
06/12/2014
Last updated
06/12/2014
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