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Organization

CUSTOM WELLNESS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. YITZA A. ARCELAY MPHE, CHES, CLE (PRESIDENT)
(787) 259-1654
Entity
Organization

Contact information

Practice address
CARRETERA 506 KM 0.75, EDIFICIO LEGACY OFFICE PARK SUITE 102, COTO LAUREL, PR 00780-2246
(787) 259-1654
(787) 848-7373
Mailing address
1241 BULEVAR SAN LUIS, COTO LAUREL, PR 00780-2246
(787) 259-1654
(787) 848-7373

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
133NN1002X
Nutrition Education Nutritionist
2083P0901X
Public Health & General Preventive Medicine Physician
Primary

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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