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Organization

INTERWELL HEALTH MEDICAL GROUP PLLC

Active
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Organization

INTERWELL HEALTH MEDICAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE DOMINGUEZ MD (PRESIDENT)
(833) 644-8244
Entity
Organization

Contact information

Practice address
461 CALLE FRANCIA, SAN JUAN, PR 00917-4204
(833) 664-8244
Mailing address
68 HARRISON AVE STE 605 PMB 39516, BOSTON, MA 02111
(833) 664-8244

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
08/08/2024
Last updated
01/27/2025
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