# BAYAMON MEDICAL WELLNESS CENTER, PSC

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

## Provider details

- **NPI number:** 1083028542
- **Authorized official:** DR. ANGEL LUIS COMULADA-RIVERA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 667-9843

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2014
- **Last updated:** 06/12/2014