Organization
WELL&LEAN LLC
Active
Organization
WELL&LEAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE E DOMINGUEZ (PRESIDENT)
(787) 596-0358
Entity
Organization
Contact information
Practice address
465 AVE HOSTOS, URB VEDADO, SAN JUAN, PR 00918-3014
(787) 946-4501
Mailing address
PO BOX 191147, SAN JUAN, PR 00919-1147
(787) 946-4501
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2745
PR
261QR0400X
Rehabilitation Clinic/Center
2745
PR
Other
Enumeration date
03/10/2016
Last updated
06/15/2016
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