# A&C WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669067344
- **Authorized official:** CARMEN M PEREZ SANTAMARIA (MANAGER)
- **Authorized official phone:** (786) 975-3069

## Contact information

- **Practice address:** 1748 W 56TH TER UNIT 410, HIALEAH, FL 33012-2006
- **Practice address phone:** (786) 319-8826
- **Mailing address:** 1748 W 56TH TER UNIT 410, HIALEAH, FL 33012-2006
- **Mailing address phone:** (786) 319-8826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/04/2021
- **Last updated:** 03/05/2021