Organization
CONDADO WELLNESS CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO AYALA (PRESIDENT)
(787) 230-7557
Entity
Organization
Contact information
Practice address
150 CALLE DE DIEGO, SAN JUAN, PR 00925-3406
(787) 230-7557
Mailing address
100 PASEO SAN PABLO STE 503, BAYAMON, PR 00961-7028
(787) 230-7557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
173C00000X
Reflexologist
—
—
207Q00000X
Family Medicine Physician
—
—
225700000X
Massage Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039053800
—
PR
Enumeration date
10/05/2018
Last updated
03/14/2025
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