# LAUREL HEALTH & WELLNESS SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUENAVENTURA HEALTH & WELLNESS CENTERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710697289
- **Authorized official:** MR. JORGE A VAZQUEZ OWNER (VICE PRESIDENT & CFO)
- **Authorized official phone:** (787) 298-5650

## Contact information

- **Practice address:** 7019 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2308
- **Practice address phone:** (787) 298-5650
- **Mailing address:** 7019 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2308
- **Mailing address phone:** (787) 298-5650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2022
- **Last updated:** 11/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 483014 | DRIVER'S LICENSE | PR |
