# CORREDOR AZUL INTEGRAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A1 Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346097672
- **Authorized official:** BERNICE LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 378-9001

## Contact information

- **Practice address:** RIVER TOWN PLAZA, 50 AVE LOS FILTROS, BO. JUAN SANCHEZ, BAYAMON, PR 00969
- **Practice address phone:** (787) 378-9001
- **Mailing address:** 105 CARR. 21 BO. MONACILLOS,, SUITE 206, SAN JUAN, PR 00927
- **Mailing address phone:** (787) 378-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 03/07/2025